Organization Active NPI

Heaton Health Services Agency LLC

  • In Home Supportive Care Agency
  • Tyler, TX
National Provider Identifier
1285174292
Registry record updated Jan 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
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

Updated by the provider on Jan 30, 2020

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)CodeLicenseStatePrimary
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 Directory

NPI 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

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.

Verify at the official NPI Registry.