NPIMap

Organization Active NPI

Custom Home Care

  • Home Health Agency
  • Amarillo, TX
National Provider Identifier
1124325204
Registry record updated Feb 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CUSTOM HOME CARE
Practice address
1400 W. 14TH
Amarillo, TX 79101-4005
Phone
(806) 337-5953
Fax
(806) 337-5174
NPI assigned
Feb 25, 2011
Last updated
Feb 25, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
BAPTIST COMMUNITY SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 25, 2011

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

Authorized official

Name
Dr. Wesley Leroy Langham, PH.D.
Title
Senior Vice President
Phone
(806) 337-5296

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

1400 W. 14TH
Amarillo, TX 79101-4005

Mailing address

701 Park Place Ave
Amarillo, TX 79101-4005
Phone (806) 337-5292

National Provider Directory

National Provider Directory
Tax ID family
Park Central Med CL5 organizations share this tax ID, including this one
Part of
Park Central Med CL

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1298592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298592000000",
    "number": "1124325204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 PARK PLACE AVE",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791014005",
            "telephone_number": "806-337-5292",
            "fax_number": "806-356-9586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 W. 14TH",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791014005",
            "telephone_number": "806-337-5953",
            "fax_number": "806-337-5174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUSTOM HOME CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BAPTIST COMMUNITY SERVICES",
        "enumeration_date": "2011-02-25",
        "last_updated": "2011-02-25",
        "status": "A",
        "authorized_official_last_name": "LANGHAM",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_middle_name": "LEROY",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "806-337-5296",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2011; 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.