Organization Active NPI

Et Transitional Living

  • Home Health Agency
  • Longview, TX
National Provider Identifier
1497158216
Registry record updated Oct 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ET TRANSITIONAL LIVING
Practice address
503 N 6TH St
Longview, TX 75601-6604
Phone
(903) 753-7685
Fax
(903) 753-7686
NPI assigned
Oct 7, 2014
Last updated
Oct 7, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2014

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

Authorized official

Name
Troy Wayne Simmons, DDSNPI 1831403807
Title
President
Phone
(903) 753-7685

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

503 N 6TH St
Longview, TX 75601-6604

Mailing address

503 N 6TH St
Longview, TX 75601-6604
Phone (903) 753-7685

National Provider Directory

National Provider Directory

Locations

503 N 6th St
Longview, TX 75601
Phone (903) 753-7685

Practitioners & affiliated clinicians

Practitioners 1

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": "1412640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412640000000",
    "number": "1497158216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 N 6TH ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756016604",
            "telephone_number": "903-753-7685",
            "fax_number": "903-753-7686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 N 6TH ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756016604",
            "telephone_number": "903-753-7685",
            "fax_number": "903-753-7686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ET TRANSITIONAL LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-07",
        "last_updated": "2014-10-07",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "TROY",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "903-753-7685",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2014; 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.