Basic Information
| Provider Information | |||||||||
| NPI: | 1235356031 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | HIMMEL HOME HEALTH LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 310030 | ||||||||
| Address2: | |||||||||
| City: | NEW BRAUNFELS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 781310030 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8306258338 | ||||||||
| FaxNumber: | 8302141842 | ||||||||
| Practice Location | |||||||||
| Address1: | 1004 MISSION DR | ||||||||
| Address2: | |||||||||
| City: | NEW BRAUNFELS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 781306129 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8306258338 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/20/2007 | ||||||||
| LastUpdateDate: | 04/13/2010 | ||||||||
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| AuthorizedOfficialLastName: | SCHRAEDER | ||||||||
| AuthorizedOfficialFirstName: | HEATHER | ||||||||
| AuthorizedOfficialMiddleName: | M | ||||||||
| AuthorizedOfficialTitleorPosition: | ADMINISTRATOR | ||||||||
| AuthorizedOfficialTelephone: | 8306258338 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | CCC SLP | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251E00000X | Y | Agencies | Home Health |
ID Information
| ID | Type | State | Issuer | Description | 185062001 | 05 | TX | MEDICAID |