Active NPI
MRC Pinecrest
- Home Health Agency
- Lufkin, TX
National Provider Identifier
1598714941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- MRC PINECREST
- Practice address
- 1302 Tom Temple Dr
Lufkin, TX 75904-5550 - Phone
- (936) 634-1056
- Fax
- (936) 634-1056
- NPI assigned
- May 10, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Donald M Stephens
- Title
- Cfo
- Phone
- (281) 210-0138
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | TX | Primary |
Addresses
Primary practice location
1302 Tom Temple Dr
Lufkin, TX 75904-5550
Mailing address
1302 Tom Temple Dr
Lufkin, TX 75904-5550
Phone (936) 634-1056
Other names 1
- PineCrest Home Health Services
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2031205 | Pinecrest Home Health Services | Certificate of waiver | Oct 13, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- MRC Pinecrest
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- Lufkin, TX
- NPI 1659371565
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1683763200000",
"number": "1598714941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1302 TOM TEMPLE DR",
"city": "LUFKIN",
"state": "TX",
"postal_code": "759045550",
"telephone_number": "936-634-1056",
"fax_number": "936-634-1056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1302 TOM TEMPLE DR",
"city": "LUFKIN",
"state": "TX",
"postal_code": "759045550",
"telephone_number": "936-634-1056",
"fax_number": "936-634-1056"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MRC PINECREST",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-10",
"last_updated": "2023-05-11",
"certification_date": "2023-05-11",
"status": "A",
"authorized_official_last_name": "STEPHENS",
"authorized_official_first_name": "DONALD",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "281-210-0138",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "PineCrest Home Health Services",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "PineCrest Home Health Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lufkin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.