Basic Information
| Provider Information | |||||||||
| NPI: | 1649369273 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | MORNING STAR QUALITY HOME HEALTH, INC | ||||||||
| LastName: | |||||||||
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| OtherOrganizationName: | BRENTWOOD HOME HEALTH | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 600 EAST WHALEY | ||||||||
| Address2: | |||||||||
| City: | LONGVIEW | ||||||||
| State: | TX | ||||||||
| PostalCode: | 75601 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9037575360 | ||||||||
| FaxNumber: | 9037575760 | ||||||||
| Practice Location | |||||||||
| Address1: | 1250 E COPELAND RD STE 240 | ||||||||
| Address2: | |||||||||
| City: | ARLINGTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 760111345 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8773882304 | ||||||||
| FaxNumber: | 2142756499 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/12/2006 | ||||||||
| LastUpdateDate: | 01/03/2019 | ||||||||
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| AuthorizedOfficialLastName: | CALLOWAY | ||||||||
| AuthorizedOfficialFirstName: | CYNTHIA | ||||||||
| AuthorizedOfficialMiddleName: | A | ||||||||
| AuthorizedOfficialTitleorPosition: | VP OPERATIONS | ||||||||
| AuthorizedOfficialTelephone: | 0396817406 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | RN | ||||||||
| NPICertificationDate: | |||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251E00000X | 010568 | TX | Y | Agencies | Home Health |
No ID Information.