Central Texas Homecare, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

CENTRAL TEXAS HOMECARE, LLC

Doing business as

Interim Healthcare of Temple

Practice address

6428 S General Bruce Dr Ste a
Temple, TX 76502-5809

Phone

(254) 771-4131

Fax

(254) 771-0752

NPI assigned

Jan 19, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Shelly Lynn Marker, RN

Title

President/Ceo

Phone

(806) 771-0995

Specialties & licenses 5

Addresses

Other identifiers 3

Other names 1

• Interim Healthcare of Temple Doing business as

Electronic endpoints 1

Tax ID family

Central Texas Homecare LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Central Texas Homecare, LLC

  dba Interim Healthcare of Dallas

  • Home Health Agency
  • Sherman, TX
  • NPI 1306438080
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1611014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726012800000",
    "number": "1013507557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3223 S LOOP 289 STE 210",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794231352",
            "telephone_number": "806-771-0588",
            "fax_number": "806-687-5966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6428 S GENERAL BRUCE DR STE A",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765025809",
            "telephone_number": "254-771-4131",
            "fax_number": "254-771-0752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL TEXAS HOMECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-19",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-10",
        "status": "A",
        "authorized_official_last_name": "MARKER",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "806-771-0995",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Pathology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "45D2151156",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "199925201",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OPERATOR LICENSE #",
            "identifier": "011575",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Interim Healthcare of Temple",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Interim Healthcare of Temple",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Central Counties Center for Mental Health & Mental Retardation SRVS
• Central Counties Center for Mental Health & Mental Retardation SRVS (Center Counties Services)
• Central Counties Center for MHMR
• Central Counties Center for MHMR Services (Childteam Eci)
• Central Texas Council on Alcoholism and Drug Abuse
• Central Texas Pain Center, PLLC
• Central Texas Pain Center, PLLC (Pain Specialists of Austin)
• Central Texas Veteran's Health Care System
• Central Texas Veteran's Health Care System
• Central Texas Veterans Health Care System

• Home Health Agency in Temple, TX
• Providers in Temple, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.