Provider Demographics
NPI:1679876700
Name:HUSSEY & PERKINS, INC.
Entity type:Organization
Organization Name:HUSSEY & PERKINS, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:HUSSEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-479-9265
Mailing Address - Street 1:50 FOREST MILL TRL
Mailing Address - Street 2:SUITE 106
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063-2510
Mailing Address - Country:US
Mailing Address - Phone:817-479-9265
Mailing Address - Fax:817-479-9365
Practice Address - Street 1:50 FOREST MILL TRL
Practice Address - Street 2:SUITE 106
Practice Address - City:MANSFIELD
Practice Address - State:TX
Practice Address - Zip Code:76063-2510
Practice Address - Country:US
Practice Address - Phone:817-479-9265
Practice Address - Fax:817-479-9365
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-12
Last Update Date:2017-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAPPLYING251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health