Provider Demographics
NPI:1568648178
Name:TEXAS COMMUNITY HOMEHEALTH INC
Entity type:Organization
Organization Name:TEXAS COMMUNITY HOMEHEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN
Authorized Official - Prefix:MRS
Authorized Official - First Name:OSA
Authorized Official - Middle Name:
Authorized Official - Last Name:ODIASE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-346-6445
Mailing Address - Street 1:8529 TALLAHASSEE LN
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76123-1700
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8529 TALLAHASSEE LN
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76123-1700
Practice Address - Country:US
Practice Address - Phone:817-346-6445
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-14
Last Update Date:2008-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health