NPIMap

Organization Active NPI

Tuckster Homecare Inc.

  • Clinic/Center
  • Midland, TX
National Provider Identifier
1194477497
Registry record updated Jan 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
TUCKSTER HOMECARE INC.
Practice address
10 Desta Dr Ste 105E
Midland, TX 79705-4573
Phone
(432) 897-4094
NPI assigned
Jan 19, 2022
Last updated
Jan 19, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2022

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

Authorized official

Name
Brent Wilson
Title
Owner
Phone
(702) 340-3661

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

10 Desta Dr Ste 105E
Midland, TX 79705-4573

Mailing address

10 Desta Dr Ste 105E
Midland, TX 79705-4573

National Provider Directory

National Provider Directory
Tax ID family
Tuckster Homecare Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

10 Desta Dr
Ste 105E
Midland, TX 79705
Phone (432) 897-4094

NPI Registry JSON

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

{
    "created_epoch": "1642550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642550400000",
    "number": "1194477497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 DESTA DR STE 105E",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797054573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 DESTA DR STE 105E",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797054573",
            "telephone_number": "432-897-4094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUCKSTER HOMECARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-19",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-340-3661"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2022; 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.