Provider Demographics
NPI:1154857803
Name:TEXAS HOME HEALTH SKILLED SERVICES, L.P.
Entity type:Organization
Organization Name:TEXAS HOME HEALTH SKILLED SERVICES, L.P.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VP LEGAL
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:
Authorized Official - Last Name:SISCEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:224-221-0465
Mailing Address - Street 1:1809 JUDSON RD
Mailing Address - Street 2:
Mailing Address - City:LONGVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:75605-4710
Mailing Address - Country:US
Mailing Address - Phone:903-758-0794
Mailing Address - Fax:903-232-1597
Practice Address - Street 1:512 SANTA FE DR STE 512
Practice Address - Street 2:
Practice Address - City:WEATHERFORD
Practice Address - State:TX
Practice Address - Zip Code:76086-6503
Practice Address - Country:US
Practice Address - Phone:903-758-0794
Practice Address - Fax:903-232-1597
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-02
Last Update Date:2023-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX018168OtherTEXAS HEALTH AND HUMAN SERVICES