# NORTHEAST TEXAS HOMECARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SJ HOMECARE, INC.
- **Other names:** Visiting Angels
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1174295265
- **Legal business name:** SJ HOMECARE, INC.
- **Authorized official:** BRENT WILSON (MANAGER)
- **Authorized official phone:** (254) 744-4277

## Contact information

- **Practice address:** 100 NE LOOP 286, PARIS, TX 75460-2158
- **Practice address phone:** (903) 784-5500
- **Mailing address:** 100 NE LOOP 286, PARIS, TX 75460-2158
- **Mailing address phone:** (903) 784-5500

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 09/28/2021
- **Last updated:** 12/20/2021