Organization Active NPI

Trusted Hearts Health Services, PLLC

Doing business as Aurora Concepts Madisonville

  • Family Medicine Physician
  • Madisonville, TX
National Provider Identifier
1477330405
Registry record updated Apr 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
TRUSTED HEARTS HEALTH SERVICES, PLLC
Doing business as
Aurora Concepts Madisonville
Practice address
1613 E Main St Ste C
Madisonville, TX 77864-2207
Phone
(936) 241-5060
Fax
(936) 241-5065
NPI assigned
Sep 13, 2023
Last updated
Apr 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2024

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

Authorized official

Name
Jud Humphries, FNP
Title
General Manager
Phone
(936) 241-5060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

1613 E Main St Ste C
Madisonville, TX 77864-2207

Mailing address

PO Box 837
Howe, TX 75459-0837
Phone (936) 241-5060

Other names 1

  • Aurora Concepts Madisonville Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240513000791 TX Part B Supplier - Clinic/Group Practice 8123469897 Receives reassigned benefits from 3 practitioners
Practice locations: Madisonville, 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.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2302256Trusted Hearts Health Services, PLLC1613 E Main Street, Suite C, Madisonville, TX 77864Certificate of waiverApr 7, 2028

National Provider Directory

National Provider Directory

Locations

1613 E Main St
Madisonville, TX 77864
Phone (936) 348-9141

1613 E Main St
#B
Madisonville, TX 77864
Phone (936) 241-5060

1613 E Main St
Ste C
Madisonville, TX 77864
Phone (936) 241-5060

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1694563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712793600000",
    "number": "1477330405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 837",
            "city": "HOWE",
            "state": "TX",
            "postal_code": "754590837",
            "telephone_number": "936-241-5060",
            "fax_number": "936-241-5065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1613 E MAIN ST STE C",
            "city": "MADISONVILLE",
            "state": "TX",
            "postal_code": "778642207",
            "telephone_number": "936-241-5060",
            "fax_number": "936-241-5065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUSTED HEARTS HEALTH SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-13",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A",
        "authorized_official_last_name": "HUMPHRIES",
        "authorized_official_first_name": "JUD",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "936-241-5060",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aurora Concepts Madisonville",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Aurora Concepts Madisonville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Madisonville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.