Organization Active NPI

Balcones Care Solutions LLC

  • Durable Medical Equipment & Medical Supplies
  • Temple, TX
National Provider Identifier
1396509253
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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

Updated by the provider on Feb 12, 2024

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20240614003511 TX DME Supplier - Medical Supply Company 4284177536 Practice locations: Temple, TX

Laboratory certificates & supplier records

Derived by NPIMap

These 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

SupplierSuppliesMedicare assignment
Balcones Care Solutions LLC1 E Central Ave, Temple, TX 76501-7625(254) 343-7787 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 assignmentParticipating since Apr 18, 2024

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.