Rebuilding Life and Embracing Death LLC Dba Annetta's Home Away From H

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

REBUILDING LIFE AND EMBRACING DEATH LLC DBA ANNETTA'S HOME AWAY FROM H

Practice address

927 N Greer Blvd
Pittsburg, TX 75686-1181

Phone

(870) 592-0687

NPI assigned

Aug 4, 2021

Last updated

Aug 25, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lashondra Brown, MA, LMSW, CDP, CAGCSNPI 1083062921

Title

Executive Director

Phone

(870) 592-0687

Specialties & licenses 5

Addresses

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lashondra Brown

  • Social Worker
  • Pittsburg, TX
  • NPI 1083062921
  NPD Authorized official

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

{
    "created_epoch": "1628035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629849600000",
    "number": "1619641420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 298",
            "city": "MOUNT VERNON",
            "state": "TX",
            "postal_code": "754570298",
            "telephone_number": "870-592-0687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 N GREER BLVD",
            "city": "PITTSBURG",
            "state": "TX",
            "postal_code": "756861181",
            "telephone_number": "870-592-0687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBUILDING LIFE AND EMBRACING DEATH LLC DBA ANNETTA'S HOME AWAY FROM H",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-04",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "LASHONDRA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "870-592-0687",
        "authorized_official_credential": "MA, LMSW, CDP, CAGCS"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Na",
            "affiliation": "N",
            "address_1": "927 N Greer Blvd",
            "city": "Pittsburg",
            "state": "TX",
            "country_code": "US",
            "postal_code": "756861181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Pittsburg Independent School District
• Pittsburg Nursing Center, L.P. (Pittsburg Nursing Center)
• Pittsburg SNF LLC (Pittsburg Nursing Center)
• Premier Home Care, Inc. (Purple Hearts Home Health)
• Rebuilding Life and Embracing Death LLC (MMJ Transportation Services)
• Richardson Family Eyecare OD PC
• Jessica Lynn Richardson
• Larry J Richardson, DDS
• Saint George & Saint Moses LLC (The DrugStore)
• Saint George & Saint Moses LLC (The Drugstore)

• Community/Behavioral Health Agency in Pittsburg, TX
• Providers in Pittsburg, TX by specialty
• Community/Behavioral Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; 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.