Provider Demographics
NPI:1487948618
Name:MED PLUS HOME HEALTHCARE INC
Entity type:Organization
Organization Name:MED PLUS HOME HEALTHCARE INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ZACHARY
Authorized Official - Middle Name:
Authorized Official - Last Name:CRISS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-329-3900
Mailing Address - Street 1:4701 ALTAMESA BLVD STE 2H
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76133-6168
Mailing Address - Country:US
Mailing Address - Phone:972-329-3900
Mailing Address - Fax:972-329-3903
Practice Address - Street 1:4701 ALTAMESA BLVD STE 2H
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76133-6168
Practice Address - Country:US
Practice Address - Phone:972-329-3900
Practice Address - Fax:972-329-3903
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-06
Last Update Date:2022-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX325616601Medicaid