Organization
EH OF FORT WORTH, LP
Active
Parent organization
ENHABIT, INC.
Other names
Enhabit Home Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
ENHABIT, INC.
Authorized official
JULIE DIANE JOLLEY (EVP OF HOME HEALTH OPERATIONS)
(214) 239-6500
Entity
Organization
Contact information
Practice address
6500 WEST FWY STE 450, FORT WORTH, TX 76116-2167
(817) 737-4300
(817) 737-4305
Mailing address
6688 N CENTRAL EXPY, SUITE 1300, DALLAS, TX 75206-3950
(214) 239-6500
(214) 239-6581
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
011086
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011086
STATE LICENSE
TX
01
—
45D1003151
CLIA
TX
Enumeration date
11/02/2006
Last updated
12/31/2024
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