Mystic Rose Home Health Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MYSTIC ROSE HOME HEALTH CARE LLC

Practice address

508 N Main St Ste C
Corsicana, TX 75110-3010

Phone

(903) 874-4325

Fax

(903) 874-9140

NPI assigned

Sep 15, 2011

Organization subpart

Yes

Parent organization

MYSTIC ROSE SOCIAL SERVICE INCAs reported in NPPES

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

Authorized official

Name

Lanettia Littleton

Title

Ceo

Phone

(903) 874-4325

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1316044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350000000000",
    "number": "1396027397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 N MAIN ST STE C",
            "city": "CORSICANA",
            "state": "TX",
            "postal_code": "751103010",
            "telephone_number": "903-874-4325",
            "fax_number": "903-874-9140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 N MAIN ST STE C",
            "city": "CORSICANA",
            "state": "TX",
            "postal_code": "751103010",
            "telephone_number": "903-874-4325",
            "fax_number": "903-874-9140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYSTIC ROSE HOME HEALTH CARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MYSTIC ROSE SOCIAL SERVICE INC",
        "enumeration_date": "2011-09-15",
        "last_updated": "2012-10-12",
        "status": "A",
        "authorized_official_last_name": "LITTLETON",
        "authorized_official_first_name": "LANETTIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "903-874-4325"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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