PALLIATIVE CONNECTIONS OF TEXAS INC (NPI# 1174879621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174879621 |
| Entity Type | Organization |
| Organization Name | PALLIATIVE CONNECTIONS OF TEXAS INC |
| Practice Address |
5604 Summerhill Rd Suite 3 Texarkana TX 75503-4650 |
| Mailing Address |
3220 S Peoria Ave Suite 101 Tulsa OK 74105-2003 |
| Practice Telephone | 9188943487 |
| Practice Fax Number | 9187129880 |
| Mailing Telephone | 9188943487 |
| Mailing Fax Number | 9187129880 |
| Enumeration Date | 2012-08-01 |
| Last Update Date | 2012-08-16 |
| Authorized Official Name | ROGER A BRUHN (DIRECTOR) |
| Authorized Official Telephone | 9188943487 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | Nursing Service Providers | ||
| N | 163WC0400X |
Registered Nurse Specialization: Case Management |
Nursing Service Providers | ||
| N | 163WG0000X |
Registered Nurse Specialization: General Practice |
Nursing Service Providers | ||
| N | 163WH0200X |
Registered Nurse Specialization: Home Health |
Nursing Service Providers | ||
| N | 164W00000X | Licensed Practical Nurse | Nursing Service Providers | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
5604 SUMMERHILL RD SUITE 3 |
| City | TEXARKANA |
| State | TX |
| Zip Code | 75503-4650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306898440 | Sotto International, Inc. | Hospice Care, Community Based | 5604 Summerhill Rd, Suite 3, Texarkana, TX 75503-4650 | 2006-05-17 |
| 1053666099 | David Kumba Lefors | Orthotist | 5604 Summerhill Rd, Suite 7, Texarkana, TX 75503-4650 | 2012-07-16 |
| 1851646897 | Katie Marie Leatherwood | Prosthetist | 5604 Summerhill Rd, Suite 7, Texarkana, TX 75503-4650 | 2012-07-16 |
| 1700196573 | Texas Health Care Group of Texarkana LLC | Home Health | 5604 Summerhill Rd, Suite 6, Texarkana, TX 75503-4650 | 2010-10-14 |
| 1134305568 | Ark-la-tex Sleep Center, LLP | Clinic/Center | 5604 Summerhill Rd, #5, Texarkana, TX 75503 | 2008-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770049397 | Jeffery Nash | Nurse Practitioner | #4 Valley View Circle, Texarkana, TX 75503 | 2019-02-19 |
| 1821583501 | Brandy D Acker | Psychologist | 3615 Richmond Rd, Texarkana, TX 75503 | 2018-06-26 |
| 1366935066 | Samantha Lee Harris | Nurse Practitioner | 4116 Mcknight Rd, Texarkana, TX 75503 | 2018-06-07 |
| 1811416910 | Heather Alison Gerber | Nurse Practitioner | 5903 Brenda Street, Texarkana, TX 75503 | 2017-09-11 |
| 1952838682 | John Kyle Abney | Counselor | 4134 Mcknight Rd, Texarkana, TX 75503 | 2017-05-12 |
| 1699151514 | Piney Woods Er IIi LLC | Clinic/Center | 4102 Gibson Lane, Texarkana, TX 75503 | 2015-08-03 |
| 1609282433 | Colby Rebecca Pair | Physician Assistant | 2604 St. Michael Dr., Suite 310, Texarkana, TX 75503 | 2014-07-01 |
| 1265842496 | Healthcare Express, LLP | Clinic/Center | 3513 Richmond Rd, Texarkana, TX 75503 | 2014-04-28 |
| 1134540628 | Eagle Dental Center of Texarkana Pllc | Dentist | 4009 Moores Ln, Texarkana, TX 75503 | 2013-12-30 |
| 1326481664 | Juancarlo S. Pascual | Family Medicine | 604 St. Michael Dr, Suite 340, Texarkana, TX 75503 | 2013-04-16 |
| Find all providers in zip 75503 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477198299 | Regina Deshae Dunagin | Case Manager/Care Coordinator | 3913 Sabine Ave, Texarkana, TX 75503-2840 | 2019-11-15 |
| 1245740943 | Darnell Brown Community Development Corporation | Case Manager/Care Coordinator | 922 Garland Ave, Texarkana, AR 71854-5055 | 2017-10-07 |
| 1366971467 | Kimberly Dian Cox | Case Manager/Care Coordinator | 7000 North Stateline Ave, Texarkana, AR 71854 | 2017-06-12 |
| 1467723387 | Andrea Yvonne Jones | Case Manager/Care Coordinator | 1701 County Ave, Texarkana, AR 71854-4303 | 2012-01-24 |
| 1942510953 | Amber Beasley | Case Manager/Care Coordinator | 701 Arkansas Blvd., Texarkana, AR 71854 | 2010-10-13 |
| 1437468956 | Mary Mobley | Case Manager/Care Coordinator | 1202 N Stateline Ave, Texarkana, AR 71854-2919 | 2010-10-01 |
| 1649893991 | Kaitlyn Renee Yancey | Case Manager/Care Coordinator | 2904 Arkansas Blvd, Texarkana, AR 71854-2536 | 2020-05-21 |
| 1417578154 | Carrie Ann James | Case Manager/Care Coordinator | 2904 Arkansas Blvd, Texarkana, AR 71854-2536 | 2020-05-05 |
| 1992330435 | Reagen Richburg | Case Manager/Care Coordinator | 2904 Arkansas Blvd, Texarkana, AR 71854-2536 | 2020-03-05 |
| 1396382412 | Symone Autrey | Case Manager/Care Coordinator | 2904 Arkansas Blvd, Texarkana, AR 71854-2536 | 2019-12-09 |
| Find all providers in TEXARKANA | ||||
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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.