Civplus Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

016450 Issued in TX

Legal business name

CIVPLUS CARE LLC

Doing business as

Choice Plus Care

Practice address

4200 Old Omen Rd Apt 2202
Tyler, TX 75707-2146

Phone

(903) 566-0734

Fax

(903) 566-2915

NPI assigned

Jul 11, 2017

Organization subpart

No

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

Authorized official

Name

Miss Robbie Brown

Title

Administrator

Phone

(903) 566-0734

Specialties & licenses 1

Addresses

Other names 1

• Choice Plus Care Doing business as

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

{
    "created_epoch": "1499731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499731200000",
    "number": "1578085635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6760 OLD JACKSONVILLE HWY STE 101",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757030566",
            "telephone_number": "903-932-1852",
            "fax_number": "903-566-2915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 OLD OMEN RD APT 2202",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757072146",
            "telephone_number": "903-566-0734",
            "fax_number": "903-566-2915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIVPLUS CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-11",
        "last_updated": "2017-07-11",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "ROBBIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "903-566-0734",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "016450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Choice Plus Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Caroline Chung, MD
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• Claire Tibiletti MD PA
• Samantha Clakley
• Cade Wesley Clark, MD
• Carey Alexander Clark III, MD

• 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 Jul 11, 2017; 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.