Marshall Manor Homecare, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

009761 Issued in TX

Legal business name

MARSHALL MANOR HOMECARE, LLC

Practice address

2905 S Washington Ave
Marshall, TX 75672-7769

Phone

(903) 923-8154

Fax

(903) 923-8624

NPI assigned

Mar 5, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Brandon White

Title

Owner

Phone

(903) 923-8154

Specialties & licenses 1

Addresses

Other names 1

• Marshall Manor HomeCare Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Hospice certification: CCN 671599

Legal name

MARSHALL MANOR HOMECARE, LLC

Doing business as

MARSHALL HOMECARE & HOSPICE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Sep 10, 2008

Last certification

Sep 17, 2020

Ownership / control type

Proprietary - Other

Organization structure

LLCProprietary

Enrollment address

111 E Burleson Street
Marshall, TX 75670-3312

Listed as

Marshall Homecare and HospiceCCN 457878

Ownership

Proprietary

Certified

Aug 9, 2005

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Listed as

Marshall Homecare and HospiceCCN 671599

Ownership

For-Profit

Certified

Sep 10, 2008

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 3

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kimberly Barbolla, DO

  • Internal Medicine Physician
  • Marshall, TX
  • NPI 1437132081
  NPD (past)

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Kimberly Barbolla, DO

  • Internal Medicine Physician
  • Marshall, TX
  • NPI 1437132081

  Hospice

  Care Compare affiliation
• Benjamin Cameron, DO

  • Internal Medicine Physician
  • Longview, TX
  • NPI 1205248424

  Hospice

  Care Compare affiliation
• Brittany Michelle Lee, FNP

  • Family Nurse Practitioner
  • Marshall, TX
  • NPI 1720599517

  Hospice

  Care Compare affiliation
• James Logan, MD

  • Family Medicine Physician
  • Marshall, TX
  • NPI 1740260140

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763683200000",
    "number": "1114056249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2905 S WASHINGTON AVE",
            "city": "MARSHALL",
            "state": "TX",
            "postal_code": "756727769",
            "telephone_number": "903-923-8154",
            "fax_number": "903-923-8624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2905 S WASHINGTON AVE",
            "city": "MARSHALL",
            "state": "TX",
            "postal_code": "756727769",
            "telephone_number": "903-923-8154",
            "fax_number": "903-923-8624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSHALL MANOR HOMECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-923-8154",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "TX",
            "license": "009761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marshall Manor HomeCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marshall Hospitalist
• Marshall Internal Medicine Associates
• Marshall Internal Medicine Associates
• Marshall Isd
• Marshall Manor Healthcare LLC
• Marshall Manor Homecare, LLC
• Marshall Manor Nursing Home and Rehabilitation, LLC
• Marshall Medical Equipment
• Marshall Rural Health Clinic
• Marshall Rural Health Clinic

• Community Based Hospice Care Agency in Marshall, TX
• Providers in Marshall, TX by specialty
• Community Based Hospice Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2025; 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.