Organization Active NPI

Simply Supportive Caregiving LLC

  • In Home Supportive Care Agency
  • Tyler, TX
National Provider Identifier
1134934912
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SIMPLY SUPPORTIVE CAREGIVING LLC
Practice address
719 W Front St Ste 170
Tyler, TX 75702-7681
Phone
(469) 333-0474
NPI assigned
Feb 10, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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

Authorized official

Name
Patresha Woods
Title
President/Manager
Phone
(469) 333-0474

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

719 W Front St Ste 170
Tyler, TX 75702-7681

Mailing address

719 W Front St Ste 170
Tyler, TX 75702-7681
Phone (469) 333-0474

National Provider Directory

National Provider Directory

Locations

719 W Front St
Ste 170
Tyler, TX 75702
Phone (469) 333-0474

NPI Registry JSON

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

{
    "created_epoch": "1739145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740441600000",
    "number": "1134934912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 W FRONT ST STE 170",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757027681",
            "telephone_number": "469-333-0474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 W FRONT ST STE 170",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757027681",
            "telephone_number": "469-333-0474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLY SUPPORTIVE CAREGIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-10",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A",
        "authorized_official_last_name": "WOODS",
        "authorized_official_first_name": "PATRESHA",
        "authorized_official_title_or_position": "PRESIDENT/MANAGER",
        "authorized_official_telephone_number": "469-333-0474"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; 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.