Organization Active NPI

Point of Care Collaboratives,Inc PPC

  • Skilled Nursing Facility
  • Lufkin, TX
National Provider Identifier
1295943272
Registry record updated Jun 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
518626 Issued in TX
Legal business name
POINT OF CARE COLLABORATIVES,INC PPC
Practice address
1428 Edgewood Cir
Lufkin, TX 75904-7631
Phone
(936) 675-3176
Fax
(936) 639-8822
NPI assigned
May 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2014

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

Authorized official

Name
Ms. Phyllis C Winder, FNP
Title
Ceo
Phone
(936) 675-3176

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 518626 TX Primary

Addresses

Primary practice location

1428 Edgewood Cir
Lufkin, TX 75904-7631

Mailing address

1428 Edgewood Cir
Lufkin, TX 75904-7631
Phone (936) 675-3176

Other identifiers 1

IdentifierTypeStateIssuer
156755401MedicaidTX

Other names 1

  • PPC Doing business as

National Provider Directory

National Provider Directory

Locations

202 E Ash St
Huntington, TX 75949
Phone (936) 422-4083

Practitioners & affiliated clinicians

Practitioners 3

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": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402444800000",
    "number": "1295943272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1428 EDGEWOOD CIR",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759047631",
            "telephone_number": "936-675-3176",
            "fax_number": "936-639-8822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1428 EDGEWOOD CIR",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759047631",
            "telephone_number": "936-675-3176",
            "fax_number": "936-639-8822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POINT OF CARE COLLABORATIVES,INC PPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2014-06-11",
        "status": "A",
        "authorized_official_last_name": "WINDER",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "936-675-3176",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "518626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "156755401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PPC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lufkin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2014; 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.