Provider Demographics
NPI:1699916163
Name:HOME HEALTH & BEYOND SERVICES,LLC
Entity type:Organization
Organization Name:HOME HEALTH & BEYOND SERVICES,LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADM
Authorized Official - Prefix:MRS
Authorized Official - First Name:FATMATA
Authorized Official - Middle Name:
Authorized Official - Last Name:SACCOH
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:972-369-7193
Mailing Address - Street 1:2300 W WHITE AVE STE 110
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-3133
Mailing Address - Country:US
Mailing Address - Phone:214-417-6418
Mailing Address - Fax:972-369-7193
Practice Address - Street 1:6408 OAKMONT DR
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-9408
Practice Address - Country:US
Practice Address - Phone:214-417-6418
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-13
Last Update Date:2017-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX001025949Medicaid
TX747410Medicare PIN