Organization Active NPI

Shannons Home Health Inc

  • Home Health Agency
  • Temple, TX
National Provider Identifier
1114058096
Registry record updated Aug 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
012601 Issued in TX
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

Updated by the provider on Aug 20, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
001002317OtherTXMDCP
024340401MedicaidTX

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.