Provider Demographics
NPI:1699260133
Name:HH4U LLC
Entity type:Organization
Organization Name:HH4U LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:GWEN
Authorized Official - Middle Name:
Authorized Official - Last Name:POTZ-NIELSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:940-736-8904
Mailing Address - Street 1:122 KIOWA DR N
Mailing Address - Street 2:
Mailing Address - City:LAKE KIOWA
Mailing Address - State:TX
Mailing Address - Zip Code:76240-9534
Mailing Address - Country:US
Mailing Address - Phone:940-736-8904
Mailing Address - Fax:
Practice Address - Street 1:122 KIOWA DR N
Practice Address - Street 2:
Practice Address - City:LAKE KIOWA
Practice Address - State:TX
Practice Address - Zip Code:76240-9534
Practice Address - Country:US
Practice Address - Phone:940-736-8904
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-27
Last Update Date:2018-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care