BRISTOL ENTERPRISES, INC (NPI# 1912227869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912227869 |
| Entity Type | Organization |
| Organization Name | BRISTOL ENTERPRISES, INC |
| Other Organization Name | SYNERGY HOMECARE SOUTHEAST TEXAS |
| Practice Address |
2390 Eastex Fwy Suite 100 Beaumont TX 77703-4638 |
| Practice Telephone | 4098612000 |
| Practice Fax Number | 4098612002 |
| Mailing Telephone | 4098612000 |
| Mailing Fax Number | 4098612002 |
| Enumeration Date | 2010-06-02 |
| Last Update Date | 2013-06-11 |
| Authorized Official Name | MRS. STEPHANIE ELAINE ALLEN (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 4098612000 |
| Authorized Official Credential | RN,EMT-P |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 013275 | TX | Agencies |
| Other Name | Type Code |
|---|---|
| Synergy HomeCare Southeast Texas | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | BRISTOL ENTERPRISES, INC. | 227 Rapin Pl, Buffalo, NY 14211-1622 |
| Street Address |
2390 EASTEX FWY SUITE 100 |
| City | BEAUMONT |
| State | TX |
| Zip Code | 77703-4638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932696572 | Hospice Care Team, Inc | Hospice Care, Community Based | 2390 Eastex Fwy, Beaumont, TX 77703-4638 | 2018-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548687684 | Christie N Beaugh | Counselor | 2574 North 11th Street, Beaumont, TX 77703 | 2014-03-26 |
| 1366728040 | Beaumont Orthodontic Specialists | Dentist | 3954 Eastex Freeway, Beaumont, TX 77703 | 2011-10-26 |
| 1033395660 | Danari, Inc | Durable Medical Equipment & Medical Supplies | 2190 Eastex Freeway, Beaumont, TX 77703 | 2008-01-14 |
| 1801091848 | Catholic Charities of Southeast Texas | Counselor | 2780 Eastex Freeway, Beaumont, TX 77703 | 2007-06-19 |
| 1487874400 | Joseph W Provo IIi | Dentist | 1460 Ih 10 East, Suite A, Beaumont, TX 77703 | 2007-05-01 |
| 1023134608 | Assisted Living Concepts Inc | Assisted Living Facility | 2910 Toccoa Road, Beaumont, TX 77703 | 2007-03-22 |
| 1134233059 | Golden Traingle Living Centers Inc | Intermediate Care Facility, Mentally Retarded | 4415 Jerry, Beaumont, TX 77703 | 2006-08-18 |
| 1225142144 | Golden Triangle Living Centers Inc | Intermediate Care Facility, Mentally Retarded | 6270 Carnation Dr, Beaumont, TX 77703 | 2006-08-18 |
| 1760588123 | Patrick Joseph Concannon | Radiologic Technologist | 2002 Holcombe Blvd, Houston, TX 77703 | 2006-09-15 |
| 1487214987 | Edalynn Roper | Home Health Aide | 4885 Detroit St, Beaumont, TX 77703-1416 | 2019-06-17 |
| Find all providers in zip 77703 | ||||
| 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 |
|---|---|---|---|---|
| 1407499346 | Altus Home Health, LLC | Home Health | 3180 College St, Beaumont, TX 77701-4608 | 2019-10-23 |
| 1720590755 | Dedicated Healthcare Inc. | Home Health | 115 N 23rd St # 104b, Beaumont, TX 77707-2405 | 2017-10-31 |
| 1841715299 | Encounter Home Care, Inc. | Home Health | 990 I H 10 North, 225, Beaumont, TX 77702 | 2017-08-07 |
| 1992248181 | Traci Sonn, LLC | Home Health | 350 Pine St. Suite 1425, Beaumont, TX 77701-2437 | 2016-11-21 |
| 1033573761 | Forward Health Care, LLC | Home Health | 2307 North St, #105, Beaumont, TX 77702-1727 | 2016-04-08 |
| 1679945059 | Riceland Home Health, LLC | Home Health | 85 I-10 Frontage Road, Suite 100, Beaumont, TX 77707 | 2015-10-26 |
| 1326438003 | S.t.c. Medicus Enterprises, LLC. | Home Health | 4347 Phelan Blvd Ste 104, Beaumont, TX 77707-2159 | 2015-02-02 |
| 1073934691 | Acclaimed Home Care LLC | Home Health | 440 N 18th St, Ste 7, Beaumont, TX 77707-2208 | 2013-12-27 |
| 1265864342 | Competent Home Health LLC | Home Health | 4690 Roberts Ave, Beaumont, TX 77707-3500 | 2013-07-31 |
| 1659611952 | S.t.c. Medicus Enterprises, LLC | Home Health | 4347 Phelan Blvd Ste 102, Beaumont, TX 77707-2159 | 2013-02-22 |
| Find all providers in BEAUMONT | ||||
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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.