Organization Active NPI

PC in Home Support

  • Home Health Agency
  • Lancaster, TX
National Provider Identifier
1215488143
Registry record updated Oct 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PC IN HOME SUPPORT
Practice address
4030 Passage Way
Lancaster, TX 75146-0106
Phone
(214) 991-5619
Fax
(469) 779-6112
NPI assigned
Oct 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2016

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

Authorized official

Name
Mr. Antoine Moury'E Beachum, CMANPI 1477981793
Title
Owner
Phone
(214) 991-5619

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

4030 Passage Way
Lancaster, TX 75146-0106

Mailing address

PO Box 1114
Lancaster, TX 75146-8114
Phone (214) 991-5619

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1476403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476403200000",
    "number": "1215488143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1114",
            "city": "LANCASTER",
            "state": "TX",
            "postal_code": "751468114",
            "telephone_number": "214-991-5619",
            "fax_number": "469-779-6112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4030 PASSAGE WAY",
            "city": "LANCASTER",
            "state": "TX",
            "postal_code": "751460106",
            "telephone_number": "214-991-5619",
            "fax_number": "469-779-6112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PC IN HOME SUPPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-14",
        "last_updated": "2016-10-14",
        "status": "A",
        "authorized_official_last_name": "BEACHUM",
        "authorized_official_first_name": "ANTOINE",
        "authorized_official_middle_name": "MOURY'E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-991-5619",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CMA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2016; 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.