Provider Demographics
NPI:1992928956
Name:TEXAS HOME HEALTH SKILLED SERVICES,LP
Entity type:Organization
Organization Name:TEXAS HOME HEALTH SKILLED SERVICES,LP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VP/ASSOCIATE GENERAL COUNSEL
Authorized Official - Prefix:MRS
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:
Authorized Official - Last Name:SISCEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:224-221-0465
Mailing Address - Street 1:400 BELCHER ST STE 6
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:TX
Mailing Address - Zip Code:77327-3654
Mailing Address - Country:US
Mailing Address - Phone:281-592-7102
Mailing Address - Fax:281-592-9537
Practice Address - Street 1:400 BELCHER ST STE 6
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:TX
Practice Address - Zip Code:77327-3654
Practice Address - Country:US
Practice Address - Phone:281-592-7102
Practice Address - Fax:281-592-9537
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-10
Last Update Date:2021-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1487993-13Medicaid
TX673151Medicare Oscar/Certification