SENIOR PREFERRED HOMECARE LLC (NPI# 1114248705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114248705 |
| Entity Type | Organization |
| Organization Name | SENIOR PREFERRED HOMECARE LLC |
| Practice Address |
111 S Merchant St Sour Lake TX 77659-2901 |
| Practice Telephone | 4092872500 |
| Practice Fax Number | 4092872565 |
| Mailing Telephone | 4092872500 |
| Mailing Fax Number | 4092872565 |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2020-09-25 |
| Authorized Official Name | MR. RYAN KIM (ADMINISTRATOR) |
| Authorized Official Telephone | 4092872500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 013558 | TX | Agencies |
| Street Address |
111 S MERCHANT ST |
| City | SOUR LAKE |
| State | TX |
| Zip Code | 77659-2901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508033507 | Paul Wesolow | Family Medicine | 317 Hwy 326 South, Sour Lake, TX 77659 | 2008-05-09 |
| 1407977960 | Paul Wesolow Md | Family Medicine | 517 S Hwy 326, Sour Lake, TX 77659 | 2007-04-03 |
| 1306966197 | Shawn D Klinger | Specialist/Technologist | Highway 326, Sour Lake, TX 77659 | 2007-03-29 |
| 1811078827 | John H Shary IIi | Specialist | 8542 Wilkins Ranch Rd, Sour Lake, TX 77659 | 2006-10-17 |
| 1487756417 | Thomas C Perry | Emergency Medicine | 9971 Old Batson Saratoga Rd, Sour Lake, TX 77659 | 2006-09-01 |
| 1316915879 | Hardin County Emergency Service District No 5 | Ambulance | 711 6th St, Sour Lake, TX 77659 | 2006-03-10 |
| 1346511433 | Sour Lake Health & Medical, Pllc | Nurse Practitioner | 689 Sixth Street, Sour Lake, TX 77659-1870 | 2012-01-20 |
| 1952566838 | Sommer Kolander Shackelford | Nurse Practitioner | 689 Sixth St., Sour Lake, TX 77659-1870 | 2008-07-21 |
| 1710349121 | Karla Michelle Kicak | Speech-Language Pathologist | 445 Elm St, Sour Lake, TX 77659-2837 | 2016-03-24 |
| 1821449208 | Lacey Ann Guedry | Nurse Practitioner | 689 6th Street, Sour Lake, TX 77659-7765 | 2016-06-27 |
| Find all providers in zip 77659 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| 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. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487255394 | Flor De La Fe Home Health LLC | Home Health | 4804 Beaver Pond Dr, Brownsville, TX 78520-9225 | 2020-11-06 |
| 1700487527 | Nursing Companion Healthcare Services LLC | Home Health | 20115 Stanton Lake Dr, Cypress, TX 77433-2677 | 2020-11-06 |
| 1659972818 | Senior Care of North Texas LLC | Home Health | 113 N Commerce St Ofc B, Gainesville, TX 76240-3911 | 2020-11-04 |
| 1174124283 | Natasha Monique Miller | Home Health | 2503 Via Venicia Apt 3223, Fort Worth, TX 76109-6535 | 2020-11-04 |
| 1093316499 | Gold Standard Therapy, Pllc | Home Health | 102 Salinas Cv, Austin, TX 78738-1781 | 2020-11-03 |
| 1114528569 | Cedar Care LLC. | Home Health | 10906 Giffnock Dr, Richmond, TX 77407-1553 | 2020-11-03 |
| 1326648122 | Airmid Wellness Inc | Home Health | 9931 Chimney Swift Ln, Conroe, TX 77385-3838 | 2020-10-29 |
| 1003416009 | Healthwork Global Inc | Home Health | 9522 Matilda Creek Ct, Richmond, TX 77407-2519 | 2020-10-28 |
| 1982204327 | Kevin D Miller | Home Health | 4429 Sahara Pl, Fort Worth, TX 76115-3653 | 2020-10-26 |
| 1265032692 | Bless It Hands Residential Care LLC. | Home Health | 2122 Monteleon St, Grand Prairie, TX 75051-4169 | 2020-10-26 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.