MEDICARE: OUTREACH MEDICAL HOME HEALTH AGENCY

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
1	251E00000X	Home Health Agency	003226	TX

General Provider Information

NPI Number	:	1649209578
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OUTREACH MEDICAL HOME HEALTH AGENCY

Provider Business Mailing Address
First Line	:	7010 AMERICAN WAY
Second Line	:	STE. I
City	:	DALLAS
State	:	TX
Zip	:	75237-2499
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7010 AMERICAN WAY
Second Line	:	STE. I
City	:	DALLAS
State	:	TX
Zip	:	75237-2499
Country	:	US
Telephone Number	:	972-572-7703
Fax Number	:

Authorized Official
Title or Position	:	OWNER/ ADMINISTRATOR
Name	:	MRS. KAY CARRINGTON
Credential	:
Telephone Number	:	972-572-7703

Provider Enumeration Date	:	07/02/2006
Last Update Date	:	08/22/2020

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Directions to “OUTREACH MEDICAL HOME HEALTH AGENCY ” Practice Location

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