Jacquatta Garland, LVN

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Practice address

1207 Cypress St
Hearne, TX 77859-3013

Phone

(979) 383-9337

NPI assigned

Aug 14, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pediatric Advanced Life Services Home Health LLC

  • Home Health Agency
  • Waco, TX
  • NPI 1649662495

  Home Health

  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

{
    "created_epoch": "1534204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560297600000",
    "number": "1508345190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 CYPRESS ST",
            "city": "HEARNE",
            "state": "TX",
            "postal_code": "778593013",
            "telephone_number": "979-383-9337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 CYPRESS ST",
            "city": "HEARNE",
            "state": "TX",
            "postal_code": "778593013",
            "telephone_number": "979-383-9337"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3640 W Waco Dr",
            "address_purpose": "LOCATION",
            "city": "Waco",
            "state": "TX",
            "postal_code": "767105345",
            "country_code": "US",
            "telephone_number": "254-307-8607",
            "fax_number": "254-765-2501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARLAND",
        "first_name": "JACQUATTA",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-14",
        "last_updated": "2019-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zbigniew Chmielewski, M.D.
• Coryell County Memorial Hospital Authority
• DCS Medical PA
• Shirilyn Monique Dykes
• Fannin County Hospital Authority
• Dianne Gradington, LCDC
• Cassandra Hammond
• Healthwise Hospice
• Hearne Family Dentistry
• Hearne I Enterprises, LLC

• All providers in Hearne, TX
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2019; 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.