Panhandle Family Care LLC

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

PANHANDLE FAMILY CARE LLC

Doing business as

Family Care Clinic of Claude

Practice address

201 Parks St
Claude, TX 79019-3868

Phone

(806) 226-5611

NPI assigned

Aug 29, 2008

Last updated

Nov 27, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

PANHANDLE FAMILY CARE LLCAs reported in NPPES

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

Authorized official

Name

Holly L JeffreysNPI 1316958408

Title

Owner

Phone

(806) 640-4215

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Family Care Clinic of Claude Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1083862379. Details of each certification follow.

• CCN 673819 Rural health clinic · Active · Details

Rural health clinic certification: CCN 673819

Legal name

PANHANDLE FAMILY CARE LLC

Doing business as

FAMILY CARE CLINIC OF CLAUDE

Certification status

Active

Provider type (POS)

Rural health clinic

Participating since

May 5, 2000

Last certification

Apr 16, 2019

Ownership / control type

1B

Most recent change of ownership

Aug 1, 2019 (1 total)

Organization structure

LLCProprietary

Incorporated

Aug 20, 2009 in TX

Enrollment address

201 Parks Street
Claude, TX 79019-3868

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Panhandle Family Care LLC

  dba Family Care Clinic of Panhandle

  • Nurse Practitioner
  • Panhandle, TX
  • NPI 1487886966

  5294871240

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Panhandle Family Care LLC3 organizations share this tax ID, including this one

Part of

Panhandle Family Care LLC

Other organizations with this tax ID 2

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

• Panhandle Family Care LLC

  dba Family Care Clinic of Panhandle

  • Rural Health Clinic/Center
  • Panhandle, TX
  • NPI 1003407834
  NPD tax ID
• Panhandle Family Care LLC

  dba Family Care Clinic of Panhandle

  • Nurse Practitioner
  • Panhandle, TX
  • NPI 1487886966
  NPD tax ID

Locations

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Holly L Jeffreys, FNP-C

  • Family Nurse Practitioner
  • Panhandle, TX
  • NPI 1316958408

  5% Or Greater Direct Ownership Interest, Corporate Officer

  CMS ownership

Change-of-ownership history 2

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Holly L Jeffreys, FNP-C

  • Family Nurse Practitioner
  • Panhandle, TX
  • NPI 1316958408
  NPD (past) Authorized official
• Gerald Lee Ashley, RN FNP-C

  • Family Nurse Practitioner
  • Amarillo, TX
  • NPI 1841388741
  NPD (past)

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

{
    "created_epoch": "1219968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1083862379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 PARKS ST",
            "city": "CLAUDE",
            "state": "TX",
            "postal_code": "790193868",
            "telephone_number": "806-640-4215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 PARKS ST",
            "city": "CLAUDE",
            "state": "TX",
            "postal_code": "790193868",
            "telephone_number": "806-226-5611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANHANDLE FAMILY CARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PANHANDLE FAMILY CARE LLC",
        "enumeration_date": "2008-08-29",
        "last_updated": "2023-11-27",
        "status": "A",
        "authorized_official_last_name": "JEFFREYS",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "806-640-4215"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200790801",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "familycarepanhandle.com",
            "affiliation": "Y",
            "affiliationName": "Panhandle Family Care LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "201 Parks St",
            "city": "Claude",
            "state": "TX",
            "country_code": "US",
            "postal_code": "790193868",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Family Care Clinic of Claude",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Rural Health Clinic/Center in Claude, TX
• Providers in Claude, TX by specialty
• Rural Health Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.