Organization Active NPI

MRC Pinecrest

  • Home Health Agency
  • Lufkin, TX
National Provider Identifier
1598714941
Registry record updated May 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on May 11, 2023

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)CodeLicenseStatePrimary
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 Doing business as

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
45D2031205Pinecrest Home Health Services1302 Tom Temple Dr Ste a, Lufkin, TX 75904Certificate of waiverOct 13, 2027

National Provider Directory

National Provider Directory
Tax ID family
MRC Pinecrest2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.