Provider Demographics
NPI:1801880554
Name:TEXAS HOME HEALTH SKILLED SERVICES, L.P.
Entity type:Organization
Organization Name:TEXAS HOME HEALTH SKILLED SERVICES, L.P.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT OF OPERATIONS
Authorized Official - Prefix:MS
Authorized Official - First Name:KARMEN
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLEYFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:254-644-0736
Mailing Address - Street 1:17855 DALLAS PKWY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75287-6852
Mailing Address - Country:US
Mailing Address - Phone:972-267-1100
Mailing Address - Fax:972-267-1115
Practice Address - Street 1:911 YORK DR STE 203
Practice Address - Street 2:
Practice Address - City:DESOTO
Practice Address - State:TX
Practice Address - Zip Code:75115-2064
Practice Address - Country:US
Practice Address - Phone:214-307-7300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-08
Last Update Date:2018-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX007752251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX007752OtherTEXAS HEALTH AND HUMAN SERVICES COMMISSION
TX1487993-03Medicaid