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Contact Information

PEDIATRIC HOME HEALTHCARE, LLC
1300 SUMMIT AVE
SUITE 430
FORT WORTH, TX76102
 Phone: 817-710-7442
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

251E00000X A4[11] Home Health Agency
Indicates primary specialty

NPI Profile & details for PEDIATRIC HOME HEALTHCARE, LLC

NPI Number 1003108721
LBN Legal business name PEDIATRIC HOME HEALTHCARE, LLC
Authorized official DENNIS HOSLEY - (COO)
Entity Organization
Organization subpart 1 No
Enumeration date 05/13/2011
Last updated 06/21/2024 - More than a year ago
Identifiers
TX Medicaid 014301
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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