EAST TEXAS MEDICAL CENTER HOME SERVICES (NPI# 1710986807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710986807 |
| Entity Type | Organization |
| Organization Name | EAST TEXAS MEDICAL CENTER HOME SERVICES |
| Other Organization Name | ETMC HOME HEALTH - SOUTH, HOSPICE |
| Practice Address |
734 W Commerce St Fairfield TX 75840-1406 |
| Practice Telephone | 9033893504 |
| Practice Fax Number | 9033893541 |
| Mailing Telephone | 9033893504 |
| Mailing Fax Number | 9033893541 |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. TRACI K. ANDERSON (AREA DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 9035356056 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | 007375 | TX | Agencies |
| Other Name | Type Code |
|---|---|
| ETMC Home Health - South, Hospice | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316029770 | East Texas Medical Center Home Services | Home Health | 19 County Road 4114, Suite 2, Pittsburg, TX 75686-4199 | 2006-10-19 |
| 1699774778 | East Texas Medical Center Home Services | Home Health | 1336 S. Palestine Street, Athens, TX 75751 | 2005-07-20 |
| 1801895719 | East Texas Medical Center Home Services | Home Health | 734 W Commerce St, Suite B, Fairfield, TX 75840-1406 | 2005-07-21 |
| Street Address |
734 W COMMERCE ST |
| City | FAIRFIELD |
| State | TX |
| Zip Code | 75840-1406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184180044 | Kayla Sierra Farmer | Nurse Practitioner | 734 W Commerce St, Fairfield, TX 75840-1428 | 2019-02-15 |
| 1316423452 | Tonya N Basque | Nurse Practitioner | 734 W Commerce St, Fairfield, TX 75840 | 2018-07-12 |
| 1568987071 | Stacy Ann Gallegos | Nurse Practitioner | 734 W Commerce St, Fairfield, TX 75840-1428 | 2017-08-04 |
| 1093263501 | Fairfield Hospital District | Clinic/Center | 734 W Commerce St, Suite C, Fairfield, TX 75840-1428 | 2016-09-13 |
| 1871918565 | Mark Waweru | Family Medicine | 734 W Commerce St, Fairfield, TX 75840-1428 | 2014-03-04 |
| 1366879694 | Lora Kelly Brown | Physician Assistant | 734 W Commerce St, Fairfield, TX 75840-1428 | 2013-10-01 |
| 1427322585 | Mary Elias Sorial | Family Medicine | 734 W Commerce St, Fairfield, TX 75840-1428 | 2012-03-06 |
| 1245476282 | Jack D Runyan | Physician Assistant | 734 W Commerce St, Fairfield, TX 75840 | 2008-12-22 |
| 1154316974 | Darryl White | Family Medicine | 734 W Commerce St, Fairfield, TX 75840-1428 | 2005-09-19 |
| 1508859596 | Joseph R Berger IIi | Family Medicine | 734 W Commerce St, Fairfield, TX 75840-1428 | 2005-08-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811508724 | Caitlin Nicole Sieck | Physical Therapist | 375 A West Hwy 84, Fairfield, TX 75840 | 2020-08-13 |
| 1841816014 | Katie Randall | Licensed Practical Nurse | 115 Pr 1295, Fairfield, TX 75840 | 2020-06-23 |
| 1063574671 | Rural Rehab Providers, LLC | Physical Therapist | 375-a West Hwy 84, Fairfield, TX 75840 | 2006-12-14 |
| 1598854572 | Erin Maggard | Specialist | 375a W Hwy 84, Fairfield, TX 75840 | 2006-10-11 |
| 1003916453 | Brookshire Brothers Inc | Pharmacy | 300 West Hwy 84, Fairfield, TX 75840 | 2006-09-25 |
| 1003899501 | Air Evac Ems Inc | Ambulance | 160 Interstate 45 S, Fairfield, TX 75840 | 2005-11-29 |
| 1952681256 | Suzanne Castles | Physical Therapist | 375-a West Hwy 84, Fairfield, TX 75840 | 2011-08-18 |
| 1407945488 | Lisa Lott | Nurse Practitioner | 375a W Hwy 84, Fairfield, TX 75840 | 2006-10-11 |
| 1972692952 | David Lott | Physical Therapist | 375a W Hwy 84, Fairfield, TX 75840 | 2006-10-11 |
| 1811973936 | Brian J. Shultz | Chiropractor | 305 W Commerce St, Fairfield, TX 75840-1401 | 2005-12-20 |
| Find all providers in zip 75840 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902413172 | Starbright Hospice and Palliative Care Inc | Hospice Care, Community Based | 490 Chadbourne Rd Ste A119, Fairfield, CA 94534-1827 | 2020-09-30 |
| 1891327573 | Adya Hospice & Palliative Care, LLC | Hospice Care, Community Based | 1652 W Texas St Ste 207, Fairfield, CA 94533-6080 | 2020-02-10 |
| 1508358003 | Advent Healthcare Services LLC | Hospice Care, Community Based | 1300 Oliver Rd Ste 350, Fairfield, CA 94534 | 2018-05-31 |
| 1871827055 | Eastern Maine Homecare | Hospice Care, Community Based | 24 Lawrence Ave, Fairfield, ME 04937-1221 | 2009-09-22 |
| 1952542177 | Professional Healthcare At Home LLC | Hospice Care, Community Based | 4820 Business Center Dr Ste 105, Fairfield, CA 94534-1901 | 2009-03-18 |
| 1720070071 | Northbay Healthcare Group | Hospice Care, Community Based | 4520 Business Center Drive, Suite 160, Fairfield, CA 94534-6888 | 2005-08-22 |
| 1497039424 | Otterbein | Hospice Care, Community Based | 4584 Mccormick Ln, Fairfield, OH 45014-1029 | 2011-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942800529 | Remarkable Ltc Partners of Brazos Valley Lp | Hospice Care, Community Based | 1645 Greens Prairie Rd W Ste 401b-2, College Station, TX 77845-8404 | 2020-10-31 |
| 1942800651 | Ld5 LLC | Hospice Care, Community Based | 6913 N 40th St, Mcallen, TX 78504-5400 | 2020-10-30 |
| 1649870791 | Unique Hospice Care Inc | Hospice Care, Community Based | 1012 Hidden Creek Dr, Allen, TX 75002-2797 | 2020-10-28 |
| 1164022505 | Cypress Hospice & Palliative Care LLC | Hospice Care, Community Based | 14405 Walters Rd Ste 614, Houston, TX 77014-1562 | 2020-10-26 |
| 1700485752 | Texas Hospice Services, LLC | Hospice Care, Community Based | 2665 Villa Creek Dr Ste 202, Dallas, TX 75234-7333 | 2020-10-21 |
| 1295334365 | Cmsp Hospice Care Inc | Hospice Care, Community Based | 2100 N Hwy 360 Ste 1105b, Grand Prairie, TX 75050-1011 | 2020-10-20 |
| 1215535711 | Hope Healthcare System International LLC | Hospice Care, Community Based | 14601 Bellaire Blvd # 151, Houston, TX 77083-2505 | 2020-10-15 |
| 1912505140 | Dfw Plus Hospice Care LLC | Hospice Care, Community Based | 6704 Vista Trl, Plano, TX 75024-7447 | 2020-10-09 |
| 1912514696 | Rainbow Hospice LLC | Hospice Care, Community Based | 11119 Cranstonhill Ct, Richmond, TX 77407-1712 | 2020-09-28 |
| 1205443702 | Avitacare Hospice LLC | Hospice Care, Community Based | 301 N King St Ste 101, Alice, TX 78332-4761 | 2020-09-28 |
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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.