Statewide Healthcare LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

013933 Issued in TX

Legal business name

STATEWIDE HEALTHCARE LLC

Practice address

702 Andrews Ave
Lufkin, TX 75901-3302

Phone

(936) 632-4388

Fax

(936) 632-4389

NPI assigned

Dec 17, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Jackson Anelechi Iheomamere, M.A

Title

Administrator

Phone

(936) 632-4388

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1292544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445299200000",
    "number": "1295038982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 ANDREWS AVE",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759013302",
            "telephone_number": "936-632-4388",
            "fax_number": "936-632-4389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 ANDREWS AVE",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759013302",
            "telephone_number": "936-632-4388",
            "fax_number": "936-632-4389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATEWIDE HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-17",
        "last_updated": "2015-10-20",
        "status": "A",
        "authorized_official_last_name": "IHEOMAMERE",
        "authorized_official_first_name": "JACKSON",
        "authorized_official_middle_name": "ANELECHI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "936-632-4388",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "013933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Lee Stafford, PHARMACIST
• James Edward Staggs II, DDS PA
• Robert M Standerford, P.A.-C
• Morgan Stanley
• Velma Jean Stanley, PSYCHOLOGIST
• Stellis Hospice of East Texas, LLC
• Walter David Stephens II, MD
• Cindi Steptoe-Andrews, MS,LPC,NCC
• Connie Stewart
• Melissa K. Stewart, APN FNP-C

• Home Health Agency in Lufkin, TX
• Providers in Lufkin, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2015; 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.