Provider Partners

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

PROVIDER PARTNERS

Practice address

1083 Tennison Rd
Gilmer, TX 75645

Phone

(903) 241-8299

Fax

(214) 872-2997

NPI assigned

Nov 18, 2009

Organization subpart

No

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

Authorized official

Name

Sandra McGlothen

Title

Administrator

Phone

(903) 241-8299

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1258502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268265600000",
    "number": "1609104397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1083 TENNISON RD",
            "city": "GILMER",
            "state": "TX",
            "postal_code": "75645",
            "telephone_number": "903-241-8299",
            "fax_number": "214-872-2997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1083 TENNISON RD",
            "city": "GILMER",
            "state": "TX",
            "postal_code": "75645",
            "telephone_number": "903-241-8299",
            "fax_number": "214-872-2997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDER PARTNERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-18",
        "last_updated": "2010-03-11",
        "status": "A",
        "authorized_official_last_name": "MCGLOTHEN",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "903-241-8299"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2010; 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.