Provider Demographics
NPI:1306135272
Name:HOME HEALTH ENDEAVORS, LLC
Entity type:Organization
Organization Name:HOME HEALTH ENDEAVORS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:J
Authorized Official - Last Name:MILLETICS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-520-0257
Mailing Address - Street 1:1916 GRANDSTAND DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78238-4508
Mailing Address - Country:US
Mailing Address - Phone:210-520-0257
Mailing Address - Fax:866-341-6398
Practice Address - Street 1:1916 GRANDSTAND DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78238-4508
Practice Address - Country:US
Practice Address - Phone:210-520-0257
Practice Address - Fax:866-341-6398
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-31
Last Update Date:2011-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX014293251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health