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Providence Group Home
Home Health Agency in Dallas, Texas
NPI 1811219942

Providence Group Home is a Home Health Agency based in Sunnyvale, TX. Providence Group Home practices in Dallas, TX. The NPI Number for Providence Group Home is 1811219942 and holds a License No. (Texas).

The current practice location address for Providence Group Home is 1047 Hillburn Dr, Dallas, TX and can be reached out via phone at 214-680-9144 and via fax at 972-226-7935.

Location: 1047 Hillburn Dr, Dallas, TX, 75182-4005
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1811219942
Provider Name
Providence Group Home
Credential
Provider Entity Type
Organization
Address
1047 Hillburn Dr, Dallas, TX, 75182-4005
Phone Number
214-680-9144
Fax Number
972-226-7935
Provider Enumeration Date
02/16/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1047 Hillburn Dr
City
Dallas
State
Texas
Zip
75217-4328
Phone Number
214-680-9144
Fax Number
972-226-7935
person
Provider Business Mailing Address Details
Address
1047 Hillburn Dr
City
Dallas
State
Texas
Zip
75217-4328
Phone Number
214-680-9144
Fax Number
972-226-7935
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
()
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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