Active NPI
Shannons Home Health Inc
- Home Health Agency
- Temple, TX
National Provider Identifier
1114058096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 012601
- Legal business name
- SHANNONS HOME HEALTH INC
- Practice address
- 201 Clinite Grove Blvd Ste 100
Temple, TX 76502-2354 - Phone
- (254) 742-1884
- Fax
- (254) 742-1852
- NPI assigned
- Mar 9, 2007
- 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
- Mr. Kevin M. Metz, JD
- Title
- Ceo
- Phone
- (254) 742-1884
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 012601 | TX | Primary |
Addresses
Primary practice location
201 Clinite Grove Blvd Ste 100
Temple, TX 76502-2354
Mailing address
201 Clinite Grove Blvd Ste 100
Temple, TX 76502-2354
Phone (254) 742-1884
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001002317 | Other | TX | MDCP |
| 024340401 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
201 Clinite Grove Blvd
Ste 100
Temple, TX 76502
Phone (254) 742-1884
6 W French Ave
Temple, TX 76501
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1597881600000",
"number": "1114058096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 CLINITE GROVE BLVD STE 100",
"city": "TEMPLE",
"state": "TX",
"postal_code": "765022354",
"telephone_number": "254-742-1884",
"fax_number": "254-742-1852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 CLINITE GROVE BLVD STE 100",
"city": "TEMPLE",
"state": "TX",
"postal_code": "765022354",
"telephone_number": "254-742-1884",
"fax_number": "254-742-1852"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHANNONS HOME HEALTH INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-09",
"last_updated": "2020-08-20",
"certification_date": "2020-08-20",
"status": "A",
"authorized_official_last_name": "METZ",
"authorized_official_first_name": "KEVIN",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "254-742-1884",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "JD"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "TX",
"license": "012601",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MDCP",
"identifier": "001002317",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "024340401",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
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 Aug 20, 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.