Provider Demographics
NPI:1902601594
Name:CONNECT HOME HEALTH LLC
Entity type:Organization
Organization Name:CONNECT HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:EZRA
Authorized Official - Middle Name:
Authorized Official - Last Name:KUENZI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-247-5057
Mailing Address - Street 1:7929 BROOKRIVER DR STE 770
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75247-4900
Mailing Address - Country:US
Mailing Address - Phone:214-838-7975
Mailing Address - Fax:
Practice Address - Street 1:7929 BROOKRIVER DR STE 770
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75247-4900
Practice Address - Country:US
Practice Address - Phone:214-838-7975
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-17
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No251S00000XAgenciesCommunity/Behavioral Health