EAST TEXAS MEDICAL CENTER HOME SERVICES (NPI# 1801895719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801895719 |
| Entity Type | Organization |
| Organization Name | EAST TEXAS MEDICAL CENTER HOME SERVICES |
| Other Organization Name | ETMC HOME HEALTH - SOUTH |
| Practice Address |
734 W Commerce St Suite B Fairfield TX 75840-1406 |
| Mailing Address |
734 W Commerce St Fairfield TX 75840-1405 |
| Practice Telephone | 9033893468 |
| Practice Fax Number | 9033893541 |
| Mailing Telephone | 9033893468 |
| Mailing Fax Number | 9033893541 |
| Enumeration Date | 2005-07-21 |
| 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 | 251E00000X | Home Health | 007375 | TX | Agencies |
| Other Name | Type Code |
|---|---|
| ETMC Home Health - South | 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 |
| 1710986807 | East Texas Medical Center Home Services | Hospice Care, Community Based | 734 W Commerce St, Fairfield, TX 75840-1406 | 2005-07-20 |
| 1699774778 | East Texas Medical Center Home Services | Home Health | 1336 S. Palestine Street, Athens, TX 75751 | 2005-07-20 |
| Street Address |
734 W COMMERCE ST SUITE B |
| City | FAIRFIELD |
| State | TX |
| Zip Code | 75840-1406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710986807 | East Texas Medical Center Home Services | Hospice Care, Community Based | 734 W Commerce St, Fairfield, TX 75840-1406 | 2005-07-20 |
| 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 |
| Find all providers in the same location | ||||
| 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 | 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 |
|---|---|---|---|---|
| 1801494745 | Adrian's Wings Home Care LLC | Home Health | 5457 Southgate Blvd Apt 7, Fairfield, OH 45014-3448 | 2020-10-13 |
| 1770126963 | Seven Stars Home Care Services, LLC | Home Health | 1495 Black Rock Tpke Ste 2c, Fairfield, CT 06825-4165 | 2019-10-21 |
| 1932740933 | Healing Touch Home Care LLC | Home Health | 7225 Dixie Hwy Ste A, Fairfield, OH 45014-8503 | 2019-10-01 |
| 1235625690 | Alpha & Omega Healthcare LLC | Home Health | 3830 Woodridge Blvd Ste F, Fairfield, OH 45014-7564 | 2018-07-09 |
| 1376032540 | Total Home Healthcare Services LLC | Home Health | 526 Nilles Rd Ste 9, Fairfield, OH 45014-2624 | 2018-05-03 |
| 1629565122 | Ally Angel Care LLC | Home Health | 5128 Pleasant Ave, Fairfield, OH 45014-2611 | 2018-04-19 |
| 1457851636 | Eleos White LLC | Home Health | 1700 Post Rd Ste B3, Fairfield, CT 06824-5726 | 2018-02-14 |
| 1891206942 | Our Compassionate Hearts LLC | Home Health | 5380 Camelot Dr Apt 11, Fairfield, OH 45014-7451 | 2017-10-17 |
| 1760920607 | Faith Home Health Care LLC | Home Health | 271 Us Highway 46 Ste B201, Fairfield, NJ 07004-2430 | 2017-02-10 |
| 1104274166 | New Life Health Care LLC | Home Health | 3607 Woodridge Blvd Apt 9, Fairfield, OH 45014-7512 | 2016-06-01 |
| Find all providers in FAIRFIELD | ||||
Please comment or provide details below to improve the information on EAST TEXAS MEDICAL CENTER HOME SERVICES.
| 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.