Provider Demographics
NPI:1548507296
Name:CONNECT HOME HEALTH LLC
Entity type:Organization
Organization Name:CONNECT HOME HEALTH LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GINA
Authorized Official - Middle Name:
Authorized Official - Last Name:KUENZI
Authorized Official - Suffix:
Authorized Official - Credentials:MSN, RN
Authorized Official - Phone:817-247-8437
Mailing Address - Street 1:7001 BOULEVARD 26 STE 501
Mailing Address - Street 2:
Mailing Address - City:NORTH RICHLAND HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:76180-8858
Mailing Address - Country:US
Mailing Address - Phone:817-247-8437
Mailing Address - Fax:866-702-7217
Practice Address - Street 1:7001 BOULEVARD 26 STE 501
Practice Address - Street 2:
Practice Address - City:NORTH RICHLAND HILLS
Practice Address - State:TX
Practice Address - Zip Code:76180-8858
Practice Address - Country:US
Practice Address - Phone:817-247-8437
Practice Address - Fax:866-702-7217
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-14
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251F00000XAgenciesHome Infusion
No251J00000XAgenciesNursing Care
No251S00000XAgenciesCommunity/Behavioral Health
No253Z00000XAgenciesIn Home Supportive Care
No385H00000XRespite Care FacilityRespite Care
No385HR2065XRespite Care FacilityRespite CareRespite Care, Physical Disabilities, Child
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX335823601Medicaid