MEDICARE: PERMIAN BASIN CARING HEARTS HOME HEALTH 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
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1922253236
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PERMIAN BASIN CARING HEARTS HOME HEALTH INC

Provider Business Mailing Address
First Line	:	519 GOLDER AVE
Second Line	:
City	:	ODESSA
State	:	TX
Zip	:	79761-4411
Country	:	US
Telephone Number	:	432-550-0833
Fax Number	:	432-332-5661

Provider Business Practice Location Address
First Line	:	519 GOLDER AVE
Second Line	:
City	:	ODESSA
State	:	TX
Zip	:	79761-4411
Country	:	US
Telephone Number	:	432-550-0833
Fax Number	:	432-332-5661

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	MRS. DEBRA JEAN HARDGRAVE
Credential	:
Telephone Number	:	432-213-4803

Provider Enumeration Date	:	12/01/2008
Last Update Date	:	10/01/2012

Similar Medicare Providers

1740219807 — SHANTI K NEERUKONDA M.D.
Practice Location Address:

501 GOLDER AVE STE 202-A
ODESSA, TX
79761-4411

Practice Phone: 432-333-6200
Practice Fax: 432-333-6213

1588795686 — WEST TEXAS COUNSELLING AND REHABILITATION PROGRAM OF ODESSA, INC.
Practice Location Address:

515 GOLDER AVE
ODESSA, TX
79761-4411

Practice Phone: 432-335-8141
Practice Fax:

1609020452 — LEO VILLAROMAN, MD, PA
Practice Location Address:

501 GOLDER AVE , SUITE 203
ODESSA, TX
79761-4411

Practice Phone: 432-687-6203
Practice Fax: 432-687-6299

1205625720 — LIZBETH JIMENEZ MA. LPC
Practice Location Address:

1406 N GRANDVIEW AVE
ODESSA, TX
79761-3140

Practice Phone: 432-220-3273
Practice Fax:

1659154458 — KRYSTEN RENTERIA
Practice Location Address:

405 N TOM GREEN AVE
ODESSA, TX
79761-5145

Practice Phone: 432-580-8976
Practice Fax:

1811990088 — DR. PAMELA A MCQUILLIN M.D.
Practice Location Address:

1330 E 8TH ST STE 420
ODESSA, TX
79761-4733

Practice Phone: 432-580-9191
Practice Fax: 949-862-7691

Directions to “PERMIAN BASIN CARING HEARTS HOME HEALTH INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.