NPIMap

Organization Active NPI

Lifecare Home Nursing LLC

  • Home Health Agency
  • Longview, TX
National Provider Identifier
1285170019
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
003475 Issued in TX
Legal business name
LIFECARE HOME NURSING LLC
Doing business as
LifeCare Health Services
Practice address
911 W Loop 281
Suite 204
Longview, TX 75604-2900
Phone
(903) 297-9300
Fax
(903) 297-7020
NPI assigned
Jan 18, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2021

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

Authorized official

Name
Ms. Amy Wilcox
Title
Administrator & Ceo
Phone
(903) 297-9300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 003475 TX Primary

Addresses

Primary practice location

911 W Loop 281
Suite 204
Longview, TX 75604-2900

Mailing address

911 W Loop 281
Suite 204
Longview, TX 75604-2900
Phone (903) 297-9300

Other identifiers 1

IdentifierTypeStateIssuer
1396750253MedicaidTX

Other names 1

  • LifeCare Health Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lifecare Health Services5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1484697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621814400000",
    "number": "1285170019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 W LOOP 281",
            "address_2": "SUITE 204",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756042900",
            "telephone_number": "903-297-9300",
            "fax_number": "903-297-7020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 W LOOP 281",
            "address_2": "SUITE 204",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756042900",
            "telephone_number": "903-297-9300",
            "fax_number": "903-297-7020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFECARE HOME NURSING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-18",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A",
        "authorized_official_last_name": "WILCOX",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "ADMINISTRATOR & CEO",
        "authorized_official_telephone_number": "903-297-9300",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "003475",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1396750253",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LifeCare Health Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LifeCare Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Longview, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.