Active NPI
Made Whole Telehealth & Concierge Services, LLC
- Primary Care Clinic/Center
- Temple, TX
National Provider Identifier
1104540178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- MADE WHOLE TELEHEALTH & CONCIERGE SERVICES, LLC
- Practice address
- 111 W Central Ave
Temple, TX 76501-7628 - Phone
- (281) 989-3319
- Fax
- (888) 616-0348
- NPI assigned
- Oct 3, 2022
- 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
- Chandra Cravens, FNP
- Title
- Ceo/FNP
- Phone
- (281) 989-3319
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| Home Health Agency | 251E00000X | |||
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
111 W Central Ave
Temple, TX 76501-7628
Mailing address
PO Box 1345
Lampasas, TX 76550-0011
Phone (281) 989-3319
Other names 2
- Made Well Again
- 'Made Whole' Telehealth & Concierge Services, LLC
National Provider Directory
National Provider DirectoryLocations
111 W Central Ave
Temple, TX 76501
Phone (281) 989-3319
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Temple, TX
- NPI 1396715264
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664755200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1664755200000",
"number": "1104540178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1345",
"city": "LAMPASAS",
"state": "TX",
"postal_code": "765500011",
"telephone_number": "281-989-3319",
"fax_number": "888-616-0348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 W CENTRAL AVE",
"city": "TEMPLE",
"state": "TX",
"postal_code": "765017628",
"telephone_number": "281-989-3319",
"fax_number": "888-616-0348"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MADE WHOLE TELEHEALTH & CONCIERGE SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-10-03",
"last_updated": "2022-10-03",
"certification_date": "2022-10-03",
"status": "A",
"authorized_official_last_name": "CRAVENS",
"authorized_official_first_name": "CHANDRA",
"authorized_official_title_or_position": "CEO/FNP",
"authorized_official_telephone_number": "281-989-3319",
"authorized_official_credential": "FNP"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Made Well Again",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "'Made Whole' Telehealth & Concierge Services, LLC",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "'Made Whole' Telehealth & Concierge Services, LLC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Temple, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.