Provider Demographics
NPI:1992815690
Name:DOCTORS APPROVED HOME HEALTH INC
Entity type:Organization
Organization Name:DOCTORS APPROVED HOME HEALTH INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:TINA
Authorized Official - Middle Name:ALENE
Authorized Official - Last Name:SHULTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-368-1100
Mailing Address - Street 1:8150 NORTH CENTRAL EXPRESSWAY
Mailing Address - Street 2:SUITE # M2103
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75206
Mailing Address - Country:US
Mailing Address - Phone:214-368-1100
Mailing Address - Fax:214-368-1106
Practice Address - Street 1:8150 NORTH CENTRAL EXPRESSWAY
Practice Address - Street 2:SUITE # M2103
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75206
Practice Address - Country:US
Practice Address - Phone:214-368-1100
Practice Address - Fax:214-368-1106
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2017-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X
TX016702251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX457812OtherPTAN
TX173616701Medicaid