Organization Active NPI

Providence Home Health Care LLC

  • In Home Supportive Care Agency
  • Sulphur Springs, TX
National Provider Identifier
1033717707
Registry record updated Dec 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
PROVIDENCE HOME HEALTH CARE LLC
Practice address
1610 Posey LN Ste 200
Sulphur Springs, TX 75482-4955
Phone
(903) 951-4080
NPI assigned
Oct 14, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2020

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

Authorized official

Name
Tammie Hunter Sullivan
Title
Owner
Phone
(903) 951-0713

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1610 Posey LN Ste 200
Sulphur Springs, TX 75482-4955

Mailing address

65 County Road 4782
Sulphur Springs, TX 75482-0318
Phone (903) 951-0713

National Provider Directory

National Provider Directory

Locations

1610 Posey Ln
Ste 200
Sulphur Springs, TX 75482
Phone (903) 951-4080

NPI Registry JSON

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

{
    "created_epoch": "1602633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607472000000",
    "number": "1033717707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 COUNTY ROAD 4782",
            "city": "SULPHUR SPRINGS",
            "state": "TX",
            "postal_code": "754820318",
            "telephone_number": "903-951-0713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 POSEY LN STE 200",
            "city": "SULPHUR SPRINGS",
            "state": "TX",
            "postal_code": "754824955",
            "telephone_number": "903-951-4080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-14",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-08",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "TAMMIE",
        "authorized_official_middle_name": "HUNTER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-951-0713"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sulphur Springs, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; 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.