Provider Demographics
NPI:1134161433
Name:SHER-DEN HOME HEALTH, INC.
Entity type:Organization
Organization Name:SHER-DEN HOME HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:GRZEGORZ
Authorized Official - Middle Name:
Authorized Official - Last Name:WEISS
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:903-892-1000
Mailing Address - Street 1:810 N. TRAVIS
Mailing Address - Street 2:
Mailing Address - City:SHERMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75090-4951
Mailing Address - Country:US
Mailing Address - Phone:903-892-1000
Mailing Address - Fax:903-892-1071
Practice Address - Street 1:810 N. TRAVIS
Practice Address - Street 2:
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75090-4951
Practice Address - Country:US
Practice Address - Phone:903-892-1000
Practice Address - Fax:903-892-1071
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-12
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX007940251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX679156Medicare ID - Type Unspecified