Southeast Texas Professional Health Care, Inc

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Legal business name

SOUTHEAST TEXAS PROFESSIONAL HEALTH CARE, INC

Doing business as

Professional Health Care

Practice address

4347 Crow Rd
Beaumont, TX 77706-6910

Phone

(409) 212-0205

Fax

(409) 242-2263

NPI assigned

Feb 1, 2024

Organization subpart

No

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

Authorized official

Name

Leann R Rivers

Title

Administration

Phone

(409) 212-0205

Specialties & licenses 1

Addresses

Other names 1

• Professional Health Care Doing business as

Tax ID family

Professional Health Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Southeast Texas Professional Health Care, Inc

  • Community Based Hospice Care Agency
  • Beaumont, TX
  • NPI 1942208244
  NPD tax ID

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

{
    "created_epoch": "1706745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706745600000",
    "number": "1376306498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4347 CROW RD",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777066910",
            "telephone_number": "409-212-0205",
            "fax_number": "409-242-2263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4347 CROW RD",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777066910",
            "telephone_number": "409-212-0205",
            "fax_number": "409-242-2263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST TEXAS PROFESSIONAL HEALTH CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-01",
        "last_updated": "2024-02-01",
        "certification_date": "2024-01-31",
        "status": "A",
        "authorized_official_last_name": "RIVERS",
        "authorized_official_first_name": "LEANN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "409-212-0205"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Professional Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Southeast Texas Mobility
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• Southeast Texas Professional Health Care Inc
• Southeast Texas Professional Health Care, Inc
• Southeast Texas Professional Health Care, Inc
• Southeast Texas Psychological Services, PLLC
• Southeast Texas Pulmonary Associates LLP
• Southeast Texas Self-Management of Diabetes

• Personal Care Attendant in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Personal Care Attendant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; 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.