Provider Demographics
NPI:1053542548
Name:HOME HEALTH ASSOCIATES LLC
Entity type:Organization
Organization Name:HOME HEALTH ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:CALDWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-886-0612
Mailing Address - Street 1:2104 MONROE STREET
Mailing Address - Street 2:SUITE B
Mailing Address - City:COMMERCE
Mailing Address - State:TX
Mailing Address - Zip Code:75428-4002
Mailing Address - Country:US
Mailing Address - Phone:940-594-3682
Mailing Address - Fax:
Practice Address - Street 1:2104 MONROE STREET
Practice Address - Street 2:SUITE B
Practice Address - City:COMMERCE
Practice Address - State:TX
Practice Address - Zip Code:75428-4002
Practice Address - Country:US
Practice Address - Phone:903-886-0612
Practice Address - Fax:903-886-0613
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-31
Last Update Date:2015-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX747373Medicare Oscar/Certification