Provider Demographics
NPI:1407151871
Name:SERVICIOS DE SALUDE EN EL HOGAR
Entity type:Organization
Organization Name:SERVICIOS DE SALUDE EN EL HOGAR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:VARUGHESE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-774-3750
Mailing Address - Street 1:2318 SHILOH LN
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75181-1690
Mailing Address - Country:US
Mailing Address - Phone:469-774-3750
Mailing Address - Fax:817-503-2303
Practice Address - Street 1:709 VINTAGE DR
Practice Address - Street 2:
Practice Address - City:KENNER
Practice Address - State:LA
Practice Address - Zip Code:70065-1926
Practice Address - Country:US
Practice Address - Phone:469-774-3750
Practice Address - Fax:817-503-2303
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-17
Last Update Date:2011-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health