Living Country Home Care Services, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

LIVING COUNTRY HOME CARE SERVICES, INC

Practice address

2753 SE 4001
Andrews, TX 79714-5958

Phone

(432) 238-0378

Fax

(432) 203-2357

NPI assigned

Jun 26, 2015

Last updated

Sep 16, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jesus A Chavez Jr.

Title

Owner/Administrator

Phone

(432) 238-0378

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1435276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442361600000",
    "number": "1447632302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 VILLAGE CIR STE B",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797016345",
            "telephone_number": "432-686-1977",
            "fax_number": "432-686-1978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2753 SE 4001",
            "city": "ANDREWS",
            "state": "TX",
            "postal_code": "797145958",
            "telephone_number": "432-238-0378",
            "fax_number": "432-203-2357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING COUNTRY HOME CARE SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-26",
        "last_updated": "2015-09-16",
        "status": "A",
        "authorized_official_last_name": "CHAVEZ",
        "authorized_official_first_name": "JESUS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "432-238-0378",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "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 Sep 16, 2015; 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.