Provider Demographics
NPI:1003141490
Name:HILFORD HOME HEALTHCARE LLC
Entity type:Organization
Organization Name:HILFORD HOME HEALTHCARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ANISH
Authorized Official - Middle Name:GEORGE
Authorized Official - Last Name:ABRAHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-329-0036
Mailing Address - Street 1:PO BOX 850088
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75185-0088
Mailing Address - Country:US
Mailing Address - Phone:972-329-0036
Mailing Address - Fax:972-692-7152
Practice Address - Street 1:12824 SEAGOVILLE RD
Practice Address - Street 2:
Practice Address - City:BALCH SPRINGS
Practice Address - State:TX
Practice Address - Zip Code:75180-4032
Practice Address - Country:US
Practice Address - Phone:972-329-0036
Practice Address - Fax:972-692-7152
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-02
Last Update Date:2025-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251E00000X, 251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX344624701Medicaid