Provider Demographics
NPI:1730504937
Name:MD HOME HEALTH SERVICES LLC
Entity type:Organization
Organization Name:MD HOME HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DAVLYNN
Authorized Official - Middle Name:
Authorized Official - Last Name:NERO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:936-857-9077
Mailing Address - Street 1:35457 OWENS RD
Mailing Address - Street 2:
Mailing Address - City:HEMPSTEAD
Mailing Address - State:TX
Mailing Address - Zip Code:77445-6769
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:35457 OWENS RD
Practice Address - Street 2:
Practice Address - City:HEMPSTEAD
Practice Address - State:TX
Practice Address - Zip Code:77445-6769
Practice Address - Country:US
Practice Address - Phone:936-857-9077
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-25
Last Update Date:2014-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health