Organization Active NPI

Allegiance Home Health of Southeast Texas

Doing business as Allegiance Home Health

  • Home Health Agency
  • Port Arthur, TX
National Provider Identifier
1336117472
Registry record updated Jan 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
009224 Issued in TX
Legal business name
ALLEGIANCE HOME HEALTH OF SOUTHEAST TEXAS
Doing business as
Allegiance Home Health
Practice address
3225 Lake Arthur Dr
Port Arthur, TX 77642-7618
Phone
(409) 729-6500
Fax
(409) 729-6501
NPI assigned
Mar 14, 2006
Last updated
Jan 12, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2012

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

Authorized official

Name
Mr. William Darrell Sheridan
Title
Alternate Administrator
Phone
(409) 729-6500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 009224 TX Primary

Addresses

Primary practice location

3225 Lake Arthur Dr
Port Arthur, TX 77642-7618

Mailing address

3225 Lake Arthur Dr
Port Arthur, TX 77642-7618
Phone (409) 729-6500

Other identifiers 2

IdentifierTypeStateIssuer
HH406HOtherBLUE CROSS BLUE SHIELD
1994824MedicaidTX

Other names 1

  • Allegiance Home Health Doing business as

National Provider Directory

National Provider Directory

Locations

1219 Boston Ave
Nederland, TX 77627
Phone (409) 729-6500

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326326400000",
    "number": "1336117472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3225 LAKE ARTHUR DR",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776427618",
            "telephone_number": "409-729-6500",
            "fax_number": "409-729-6501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3225 LAKE ARTHUR DR",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776427618",
            "telephone_number": "409-729-6500",
            "fax_number": "409-729-6501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEGIANCE HOME HEALTH OF SOUTHEAST TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-14",
        "last_updated": "2012-01-12",
        "status": "A",
        "authorized_official_last_name": "SHERIDAN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "DARRELL",
        "authorized_official_title_or_position": "ALTERNATE ADMINISTRATOR",
        "authorized_official_telephone_number": "409-729-6500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "009224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "HH406H",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1994824",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allegiance Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port Arthur, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2012; 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.