Provider Demographics
NPI:1194054502
Name:HEART PLUS HOME HEALTH SERVICES INC
Entity type:Organization
Organization Name:HEART PLUS HOME HEALTH SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LARONNICA
Authorized Official - Middle Name:
Authorized Official - Last Name:DEBOUSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-300-4658
Mailing Address - Street 1:101 MILLINGTON TRL
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063-4831
Mailing Address - Country:US
Mailing Address - Phone:817-300-4658
Mailing Address - Fax:817-318-1412
Practice Address - Street 1:101 MILLINGTON TRL
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:TX
Practice Address - Zip Code:76063-4831
Practice Address - Country:US
Practice Address - Phone:817-300-4658
Practice Address - Fax:817-318-1412
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-14
Last Update Date:2009-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health