CBL MEDICAL ENTERPRISES, INC. (NPI# 1811205370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811205370 |
| Entity Type | Organization |
| Organization Name | CBL MEDICAL ENTERPRISES, INC. |
| Other Organization Name | ADVANTAGE PLUS HOMECARE |
| Practice Address |
2719 Westward Dr Nacogdoches TX 75964-1229 |
| Practice Telephone | 9365599480 |
| Practice Fax Number | 9365599498 |
| Mailing Telephone | 9365599480 |
| Mailing Fax Number | 9365599498 |
| Enumeration Date | 2010-09-17 |
| Last Update Date | 2015-06-16 |
| Authorized Official Name | CHARLES FRAZIER (CFO/ALTERNATE ADMINISTRATOR) |
| Authorized Official Telephone | 9395599480 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 013780 | TX | Agencies |
| Other Name | Type Code |
|---|---|
| Advantage Plus Homecare | Doing Business As Name - Organization |
| Street Address |
2719 WESTWARD DR |
| City | NACOGDOCHES |
| State | TX |
| Zip Code | 75964-1229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497250450 | Aubrey Elyse Laurent | Specialist/Technologist | 5623 County Road 817, Nacogdoches, TX 75964 | 2018-03-29 |
| 1821194168 | Gary Warren Mcclinton | Chiropractor | 1923 South Street, Nacogdoches, TX 75964 | 2006-09-15 |
| 1215337720 | Whitney Revette Hamilton | Physician Assistant | 1106 South St, Nacogdoches, TX 75964 | 2014-09-03 |
| 1881171353 | Lauren Homer | Nurse Practitioner | 115 County Road 9151, Nacogdoches, TX 75964-0272 | 2018-07-26 |
| 1285139444 | Adam's Therapy Services Pllc | Physical Therapist | 3002 Westward Dr, Nacogdoches, TX 75964-1207 | 2018-03-28 |
| 1396787834 | Wt Manor Lp | Skilled Nursing Facility | 3001 Westward Dr, Nacogdoches, TX 75964-1232 | 2006-06-11 |
| 1437106960 | Arbor Assisted Living, Lp | Assisted Living Facility | 3002 Westward Dr, Nacogdoches, TX 75964-1232 | 2006-05-29 |
| 1326529645 | Douglas Bowlin | Physical Therapy Assistant | 3001 Westward Dr, Nacogdoches, TX 75964-1232 | 2018-08-24 |
| 1083195630 | Aimee Bird | Speech-Language Pathologist | 3001 Westward Dr, Nacogdoches, TX 75964-1232 | 2018-08-22 |
| 1891276440 | April Tamez | Occupational Therapy Assistant | 3001 Westward Dr, Nacogdoches, TX 75964-1232 | 2018-08-22 |
| Find all providers in zip 75964 | ||||
| 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 |
|---|---|---|---|---|
| 1174824361 | Bethany Hh of Nacogdoches | Home Health | 3500 North St, Suite 1b, Nacogdoches, TX 75965-2472 | 2010-11-04 |
| 1275790933 | L & C Nursing Services, Inc. Private Duty | Home Health | 818 N University Dr Ste 203, Nacogdoches, TX 75961-4681 | 2008-05-20 |
| 1093874455 | Bethany Home Health of Nacogdoches, Inc. | Home Health | 4928 North St, Nacogdoches, TX 75965-1878 | 2006-12-08 |
| 1093809808 | Progressive Care Home Health | Home Health | 5021 Justin St, Ste. A, Nacogdoches, TX 75965-1306 | 2006-10-03 |
| 1871510388 | Ahm Action Home Health Lp | Home Health | 300 E Main St Ste 200, Nacogdoches, TX 75961-5291 | 2006-07-17 |
| 1073594958 | L & C Nursing Services, Inc. | Home Health | 818 N University Dr, Nacogdoches, TX 75961-4680 | 2005-11-08 |
| 1386625523 | Linda Marie Motherwell | Home Health | 418 West Main, Nacogdoches, TX 75961-3968 | 2005-11-06 |
| 1346794898 | Bethany Home Health of East Texas, LLC | Home Health | 5021 Justin St, Suite A, Nacogdoches, TX 75965-1306 | 2016-08-12 |
| 1043697360 | Bhh of Nacogdoches County and Region, LLC | Home Health | 4928 North St, Nacogdoches, TX 75965-1878 | 2015-05-06 |
| 1215150305 | Texas Home Health Skilled Services, Lp | Home Health | 4619 North St, Nacogdoches, TX 75965-1816 | 2007-04-10 |
| Find all providers in NACOGDOCHES | ||||
| City | NACOGDOCHES |
| Zip Code | 75964 |
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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.