Physicare Ancillary Service Corporation

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

26048050564 Issued in TX

Legal business name

PHYSICARE ANCILLARY SERVICE CORPORATION

Practice address

925 Santa Fe Dr
Suite 111
Weatherford, TX 76086-5866

Phone

(817) 594-9200

NPI assigned

Jul 10, 2007

Organization subpart

No

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

Authorized official

Name

Luke Jason Haynes, P.T.

Title

Director

Phone

(817) 594-9200

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184025600000",
    "number": "1336347525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2306",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760867306",
            "telephone_number": "817-594-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 SANTA FE DR",
            "address_2": "SUITE 111",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760865866",
            "telephone_number": "817-594-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICARE ANCILLARY SERVICE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-10",
        "last_updated": "2007-07-10",
        "status": "A",
        "authorized_official_last_name": "HAYNES",
        "authorized_official_first_name": "LUKE",
        "authorized_official_middle_name": "JASON",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "817-594-9200",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "26048050564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thien Pham, DO
• Pharmprorx LLC (Pharmprorx)
• Ashley Phillips, RD/LD
• Robert E Phillips, DDS
• Shae Phillips, DPT
• Physicare, Inc.
• Physicare, Inc.
• Jayna Picantine-Kobs
• Andrea Estelle Pietila
• La'Shundra Shinell Plunkett, DO

• Home Health Agency in Weatherford, TX
• Providers in Weatherford, 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 Jul 10, 2007; 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.