Active NPI
Balcones Care Solutions LLC
- Durable Medical Equipment & Medical Supplies
- Temple, TX
National Provider Identifier
1396509253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- BALCONES CARE SOLUTIONS LLC
- Practice address
- 1 E Central Ave Ste 209
Temple, TX 76501-7625 - Phone
- (254) 343-7787
- Fax
- (254) 489-0440
- NPI assigned
- Feb 12, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Timothy Trevor Cheatheam
- Title
- Owner
- Phone
- (512) 630-7852
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
1 E Central Ave Ste 209
Temple, TX 76501-7625
Mailing address
1 E Central Ave Ste 209
Temple, TX 76501-7625
Phone (254) 343-7787
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240614003511 | TX | DME Supplier - Medical Supply Company | 4284177536 | Practice locations: Temple, TX |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Balcones Care Solutions LLC | Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Insulin Infusion Pumps and/or Supplies|Walkers|Orthoses: Off-The-Shelf|Ostomy Supplies|Tracheotomy Supplies|Urological Supplies|Enteral Nutrients|Enteral Equipment and/or Supplies|Nebulizer Equipment and/o… | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
1 E Central Ave
Ste 209
Temple, TX 76501
Phone (254) 343-7787
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707696000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1707696000000",
"number": "1396509253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 E CENTRAL AVE STE 209",
"city": "TEMPLE",
"state": "TX",
"postal_code": "765017625",
"telephone_number": "254-343-7787",
"fax_number": "254-489-0440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 E CENTRAL AVE STE 209",
"city": "TEMPLE",
"state": "TX",
"postal_code": "765017625",
"telephone_number": "254-343-7787",
"fax_number": "254-489-0440"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BALCONES CARE SOLUTIONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-12",
"last_updated": "2024-02-12",
"certification_date": "2024-02-12",
"status": "A",
"authorized_official_last_name": "CHEATHEAM",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_middle_name": "TREVOR",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "512-630-7852"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Temple, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.