Active NPI
Heaton Health Services Agency LLC
- In Home Supportive Care Agency
- Tyler, TX
National Provider Identifier
1285174292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- HEATON HEALTH SERVICES AGENCY LLC
- Practice address
- 1820 Shiloh Rd Ste 1503
Tyler, TX 75703-2459 - Phone
- (903) 630-5493
- Fax
- (903) 965-6384
- NPI assigned
- Feb 24, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Clay Heaton
- Title
- Owner/President
- Phone
- (903) 239-1430
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
1820 Shiloh Rd Ste 1503
Tyler, TX 75703-2459
Mailing address
1820 Shiloh Rd Ste 1503
Tyler, TX 75703-2459
Phone (903) 630-5493
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487894400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1580342400000",
"number": "1285174292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1820 SHILOH RD STE 1503",
"city": "TYLER",
"state": "TX",
"postal_code": "757032459",
"telephone_number": "903-630-5493",
"fax_number": "903-965-6384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1820 SHILOH RD STE 1503",
"city": "TYLER",
"state": "TX",
"postal_code": "757032459",
"telephone_number": "903-630-5493",
"fax_number": "903-965-6384"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEATON HEALTH SERVICES AGENCY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-02-24",
"last_updated": "2020-01-30",
"certification_date": "2020-01-30",
"status": "A",
"authorized_official_last_name": "HEATON",
"authorized_official_first_name": "CLAY",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "903-239-1430"
},
"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
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tyler, TX
- Sandra Jean Hearnsberger, RN
- Heart to Heart Hospice of Tyler LTD
- Hayden Lee Heath Jr., M.S., BCBA, LBA
- Haley Heather, ATP
- Heaton Ear Nose and Throat Associates of East Texas P a (ENT Associates of East Texas)
- Heaton Laser and Surgery Center L L C
- Charles Lawson Heaton, M. D.
- Steuart Lawrence Heaton, MD
- Travis Glenn Heaton, DDS
- Renee Suzanne Hebbeler-Clark, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.