Organization Active NPI

Pahhs, Inc

  • Home Health Agency
  • Beaumont, TX
National Provider Identifier
1013914621
Registry record updated May 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
004136 Issued in TX
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

Updated by the provider on May 12, 2011

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
012113901MedicaidTX
004136OtherTXSTATE LICENSE NUMBER

Other names 1

  • dba Port Arthur Home Health Service Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.