Provider Demographics
NPI: | 1982437646 |
---|---|
Name: | TEXAS HOME HEALTH TEAM LLC |
Entity type: | Organization |
Organization Name: | TEXAS HOME HEALTH TEAM LLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | ADMIN |
Authorized Official - Prefix: | |
Authorized Official - First Name: | BUSHRA |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | NAYAB |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 469-943-5483 |
Mailing Address - Street 1: | 2225 E BELT LINE RD # 301G |
Mailing Address - Street 2: | |
Mailing Address - City: | CARROLLTON |
Mailing Address - State: | TX |
Mailing Address - Zip Code: | 75006-5606 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 518-445-5192 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 2225 E BELT LINE RD # 301G |
Practice Address - Street 2: | |
Practice Address - City: | CARROLLTON |
Practice Address - State: | TX |
Practice Address - Zip Code: | 75006-5606 |
Practice Address - Country: | US |
Practice Address - Phone: | 518-445-5192 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2024-08-20 |
Last Update Date: | 2024-08-20 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 251E00000X | Agencies | Home Health | ||
No | 163W00000X | Nursing Service Providers | Registered Nurse | Group - Multi-Specialty | |
No | 163WH0200X | Nursing Service Providers | Registered Nurse | Home Health | Group - Multi-Specialty |
No | 164X00000X | Nursing Service Providers | Licensed Vocational Nurse | Group - Multi-Specialty | |
No | 171M00000X | Other Service Providers | Case Manager/Care Coordinator | Group - Multi-Specialty | |
No | 224Z00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapy Assistant | Group - Multi-Specialty | |
No | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Group - Multi-Specialty | |
No | 225200000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapy Assistant | Group - Multi-Specialty | |
No | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Group - Multi-Specialty | |
No | 227900000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Registered | Group - Multi-Specialty | |
No | 235Z00000X | Speech, Language and Hearing Service Providers | Speech-Language Pathologist | Group - Multi-Specialty | |
No | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Group - Multi-Specialty | |
No | 376K00000X | Nursing Service Related Providers | Nurse's Aide | Group - Multi-Specialty |