Basic Information
| Provider Information | |||||||||
| NPI: | 1982669305 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | HOME HEALTH SPECIALISTS INC | ||||||||
| LastName: | |||||||||
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| Mailing Information | |||||||||
| Address1: | 1315 S PALESTINE ST | ||||||||
| Address2: | |||||||||
| City: | ATHENS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 757513600 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9036755184 | ||||||||
| FaxNumber: | 9036754098 | ||||||||
| Practice Location | |||||||||
| Address1: | 1315 S PALESTINE ST | ||||||||
| Address2: | |||||||||
| City: | ATHENS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 757513600 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9036755184 | ||||||||
| FaxNumber: | 9036754098 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/19/2006 | ||||||||
| LastUpdateDate: | 03/25/2008 | ||||||||
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| ProviderGenderCode: | |||||||||
| AuthorizedOfficialLastName: | ISABELL | ||||||||
| AuthorizedOfficialFirstName: | DONNA | ||||||||
| AuthorizedOfficialMiddleName: | K | ||||||||
| AuthorizedOfficialTitleorPosition: | ADMINISTRATOR | ||||||||
| AuthorizedOfficialTelephone: | 9036755184 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MRS. | ||||||||
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| AuthorizedOfficialCredential: | RN | ||||||||
| NPICertificationDate: | |||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251E00000X | 002226 | TX | Y | Agencies | Home Health |
ID Information
| ID | Type | State | Issuer | Description | 002226 | 01 | TX | LICENSED HH | OTHER |