Demitra Stephens Haynes

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

NA8481034 Issued in TX

Practice address

18116 Flathead Dr
Manor, TX 78653

Phone

(512) 350-2845

NPI assigned

Sep 16, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1410825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428537600000",
    "number": "1023410560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18116 FLATHEAD DR",
            "city": "MANOR",
            "state": "TX",
            "postal_code": "786534676",
            "telephone_number": "254-722-5061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18116 FLATHEAD DR",
            "city": "MANOR",
            "state": "TX",
            "postal_code": "78653",
            "telephone_number": "512-350-2845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS HAYNES",
        "first_name": "DEMITRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-16",
        "last_updated": "2015-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "TX",
            "license": "NA8481034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Spencer, M.D.
• Spiegelman Smiles PLLC
• St. David'S Healthcare Partnership, L.P., LLP (St Davids Emergency Center-Manor, a department of St. David's Medical Center)
• Ashton Nicholas Stanford
• Anderson H Stanley III
• Mai Stern, DMD
• Kristina Sucic, PHARMD, BCPS
• Sunflower Rain Home Care, LLC (Sunflower Rain Home Care)
• Takoda Therapies
• Latasha Taylor, LPC

• In Home Supportive Care Agency in Manor, TX
• Providers in Manor, TX by specialty
• In Home Supportive Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2015; 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.