Provider Demographics
NPI:1699719989
Name:TEXAS HOME HEALTH HOSPICE, L.P.
Entity type:Organization
Organization Name:TEXAS HOME HEALTH HOSPICE, L.P.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VP LEGAL
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:
Authorized Official - Last Name:SISCEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-234-0943
Mailing Address - Street 1:17855 N. DALLAS PKWY.
Mailing Address - Street 2:SUITE 200
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75287-6857
Mailing Address - Country:US
Mailing Address - Phone:972-267-1100
Mailing Address - Fax:972-267-1116
Practice Address - Street 1:2904 N 4TH ST
Practice Address - Street 2:SUITE 102
Practice Address - City:LONGVIEW
Practice Address - State:TX
Practice Address - Zip Code:75605-5129
Practice Address - Country:US
Practice Address - Phone:903-234-0943
Practice Address - Fax:903-238-9068
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-16
Last Update Date:2024-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX010521251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX001014650Medicaid
TX010521OtherDADS LICENSE
TX001014650Medicaid