Provider Demographics
NPI:1104158336
Name:PATRIOTIC HOME HEALTH, INC.
Entity type:Organization
Organization Name:PATRIOTIC HOME HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:KAYE
Authorized Official - Last Name:HEYT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-755-3976
Mailing Address - Street 1:130 COLONEL ETHEREDGE BLVD
Mailing Address - Street 2:SUITE D2
Mailing Address - City:HUNTSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:77340
Mailing Address - Country:US
Mailing Address - Phone:936-291-8700
Mailing Address - Fax:936-291-8706
Practice Address - Street 1:130 COLONEL ETHEREDGE BLVD
Practice Address - Street 2:SUITE D2
Practice Address - City:HUNTSVILLE
Practice Address - State:TX
Practice Address - Zip Code:77340
Practice Address - Country:US
Practice Address - Phone:936-291-8700
Practice Address - Fax:936-291-8706
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-14
Last Update Date:2011-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health