PHCS I Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PHCS I INC

Practice address

1021 E Southeast Loop 323 Ste 110
Tyler, TX 75701-8001

Phone

(903) 526-3477

Fax

(903) 526-3482

NPI assigned

Aug 25, 2007

Organization subpart

No

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

Authorized official

Name

Patricia Ann Henderson

Title

Alt Administrator

Phone

(903) 526-3477

Specialties & licenses 1

Addresses

Other names 1

• PREMIER HEALTH CARE SERVICES I Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Home health agency certification: CCN 747071

Legal name

PHCS I INC

Doing business as

PREMIER HEALTH CARE SERVICES I

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jan 21, 2009

Last certification

Feb 4, 2020

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

May 24, 2007 in TX

Enrollment address

1021 E Southeast Loop 323
Ste 110a
Tyler, TX 75701-9656

Listed as

Premier Health Care Services ICCN 747071

Ownership

Proprietary

Certified

Jan 21, 2009

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Locations

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1188000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647302400000",
    "number": "1437342136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 E SOUTHEAST LOOP 323 STE 110",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757018001",
            "telephone_number": "903-526-3477",
            "fax_number": "903-526-3482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 E SOUTHEAST LOOP 323 STE 110",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757018001",
            "telephone_number": "903-526-3477",
            "fax_number": "903-526-3482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHCS I INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-25",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "ALT ADMINISTRATOR",
        "authorized_official_telephone_number": "903-526-3477"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PREMIER HEALTH CARE SERVICES I",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PREMIER HEALTH CARE SERVICES I",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Tyler, TX
• Providers in Tyler, 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 Mar 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.