Active NPI
Pahhs, Inc
- Home Health Agency
- Beaumont, TX
National Provider Identifier
1013914621
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 004136
- Legal business name
- PAHHS, INC
- Doing business as
- dba Port Arthur Home Health Service
- Practice address
- 1725-A West Cardinal Drive
Beaumont, TX 77705-6415 - Phone
- (409) 983-5668
- Fax
- (409) 983-5604
- NPI assigned
- Jun 29, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Ruth L Constant, EDD, MSN, CHCE, FHHC
- Title
- Owner/Administrator
- Phone
- (361) 578-0762
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 004136 | TX | Primary |
Addresses
Primary practice location
1725-A West Cardinal Drive
Beaumont, TX 77705-6415
Mailing address
3202 Sam Houston Drive
Victoria, TX 77904-2240
Phone (361) 578-0762
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 012113901 | Medicaid | TX | |
| 004136 | Other | TX | STATE LICENSE NUMBER |
Other names 1
- dba Port Arthur Home Health Service
National Provider Directory
National Provider DirectoryLocations
1725 W Cardinal Dr
Ste A
Beaumont, TX 77705
Phone (409) 983-5668
3648 39th St
Port Arthur, TX 77642
Phone (409) 983-5668
3202 Sam Houston Dr
Victoria, TX 77904
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120003200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1305158400000",
"number": "1013914621",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3202 SAM HOUSTON DRIVE",
"city": "VICTORIA",
"state": "TX",
"postal_code": "779042240",
"telephone_number": "361-578-0762",
"fax_number": "361-578-1567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1725-A WEST CARDINAL DRIVE",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777056415",
"telephone_number": "409-983-5668",
"fax_number": "409-983-5604"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAHHS, INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-29",
"last_updated": "2011-05-12",
"status": "A",
"authorized_official_last_name": "CONSTANT",
"authorized_official_first_name": "RUTH",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
"authorized_official_telephone_number": "361-578-0762",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "EDD, MSN, CHCE, FHHC"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "TX",
"license": "004136",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "012113901",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "004136",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "dba Port Arthur Home Health Service",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Beaumont, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.