Northeast Texas Homecare LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

NORTHEAST TEXAS HOMECARE LLC

Practice address

100 NE Loop 286
Paris, TX 75460-2158

Phone

(903) 784-5500

NPI assigned

Sep 28, 2021

Organization subpart

Yes

Parent organization

SJ HOMECARE, INC.As reported in NPPES

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

Authorized official

Name

Brent Wilson

Title

Manager

Phone

(254) 744-4277

Specialties & licenses 4

Addresses

Other names 1

• Visiting Angels Doing business as

Tax ID family

Northeast Texas Homecare LLC2 organizations share this tax ID, including this one

Part of

SJ Homecare Inc

Other organizations with this tax ID 1

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

• Northeast Texas Homecare LLC

  • Clinical Medical Laboratory
  • Paris, TX
  • NPI 1477209815
  NPD tax ID

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

{
    "created_epoch": "1632787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639958400000",
    "number": "1174295265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 NE LOOP 286",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754602158",
            "telephone_number": "903-784-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 NE LOOP 286",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754602158",
            "telephone_number": "903-784-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST TEXAS HOMECARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SJ HOMECARE, INC.",
        "enumeration_date": "2021-09-28",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "254-744-4277"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visiting Angels",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Visiting Angels",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Terrie J Northcutt
• Northeast Texas Behavioral Health
• Northeast Texas Clinic of Chiropractic, P.Corp
• Northeast Texas Ear, Nose & Throat
• Northeast Texas Hearing Services
• Northeast Texas Homecare LLC
• Northeast Texas Periodontal Services
• Northeast Texas Primary Care, PA
• Steven Louis Novick, MD
• Nurses Unlimited Inc

• In Home Supportive Care Agency in Paris, TX
• Providers in Paris, TX by specialty
• In Home Supportive Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2021; 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.