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NPI Code Detail

MEDICARE: HOMECARE HOME HEALTH SERIVCES, INC

MEDICARE: HOMECARE HOME HEALTH SERIVCES, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency3784TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
13784OTHERTXLICENSE

General Provider Information

NPI Number : 1609872951
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOMECARE HOME HEALTH SERIVCES, INC
Provider Business Mailing Address
First Line : PO BOX 9057
Second Line :
City : WICHITA FALLS
State : TX
Zip : 76308-9057
Country : US
Telephone Number : 940-691-2273
Fax Number : 940-691-3365
Provider Business Practice Location Address
First Line : 4619 RHEA RD
Second Line :
City : WICHITA FALLS
State : TX
Zip : 76308-4510
Country : US
Telephone Number : 640-691-2273
Fax Number : 940-691-3364
Authorized Official
Title or Position : ADMINISTRATOR
Name : MRS. JANICE HOOVER
Credential :
Telephone Number : 940-691-2273
Provider Enumeration Date : 06/22/2005
Last Update Date : 08/22/2020

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Directions to “HOMECARE HOME HEALTH SERIVCES, INC ” Practice Location

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