Organization Active NPI

Ethan Project Healthcare LLC

  • Home Health Agency
  • Amarillo, TX
National Provider Identifier
1144943358
Registry record updated Mar 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ETHAN PROJECT HEALTHCARE LLC
Practice address
100 Crockett St
Amarillo, TX 79106-8346
Phone
(806) 433-5480
NPI assigned
Sep 22, 2022
Last updated
Mar 23, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2023

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

Authorized official

Name
Lindsay Boykin, BSN, RN
Title
Owner/VP
Phone
(806) 433-5480

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X NU
Licensed Vocational Nurse 164X00000X NU
Pediatrics Physician 208000000X NU
Speech-Language Pathologist 235Z00000X NU
Home Health Agency 251E00000X NU Primary
Nursing Care Agency 251J00000X NU
Personal Care Attendant 3747P1801X NU
In Home Supportive Care Agency 253Z00000X NU

Addresses

Primary practice location

100 Crockett St
Amarillo, TX 79106-8346

Mailing address

4042 Ricardo Dr
Amarillo, TX 79109-5036
Phone (806) 433-5480

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1663804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679529600000",
    "number": "1144943358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4042 RICARDO DR",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791095036",
            "telephone_number": "806-433-5480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CROCKETT ST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791068346",
            "telephone_number": "806-433-5480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETHAN PROJECT HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-22",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A",
        "authorized_official_last_name": "BOYKIN",
        "authorized_official_first_name": "LINDSAY",
        "authorized_official_title_or_position": "OWNER/VP",
        "authorized_official_telephone_number": "806-433-5480",
        "authorized_official_credential": "BSN, RN"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "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 Mar 23, 2023; 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.