Organization Active NPI

Made Whole Telehealth & Concierge Services, LLC

  • Primary Care Clinic/Center
  • Temple, TX
National Provider Identifier
1104540178
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
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

Updated by the provider on Oct 3, 2022

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

Authorized official

Name
Chandra Cravens, FNPNPI 1396715264
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)CodeLicenseStatePrimary
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 Doing business as
  • 'Made Whole' Telehealth & Concierge Services, LLC Other name

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.