Organization Active NPI

Home Reach Mobile Wound Care Clinic, PLLC

  • Family Medicine Physician
  • Sherman, TX
National Provider Identifier
1629807375
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HOME REACH MOBILE WOUND CARE CLINIC, PLLC
Practice address
115 W Lamberth Rd
Sherman, TX 75092-2658
Phone
(877) 258-6331
Fax
(718) 362-1651
NPI assigned
Jul 31, 2024
Last updated
Nov 21, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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

Authorized official

Name
Emily Ault, NPNPI 1477957355
Title
Owner
Phone
(580) 775-1820

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

115 W Lamberth Rd
Sherman, TX 75092-2658

Mailing address

115 W. Laberth Rd, Suite E
Sherman, TX 75092-2027
Phone (580) 775-1820

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OK2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20250121003178 TX Part B Supplier - Clinic/Group Practice 8123557188 Receives reassigned benefits from 1 practitioner
Practice locations: Sherman, TX
O20250521001303 OK Part B Supplier - Clinic/Group Practice 8123557188 Receives reassigned benefits from 1 practitioner
Practice locations: Durant, OK

National Provider Directory

National Provider Directory

Locations

115 W Lamberth Rd
Ste E
Sherman, TX 75092
Phone (903) 271-4261

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1722384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732147200000",
    "number": "1629807375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 W. LABERTH RD, SUITE E",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750922027",
            "telephone_number": "580-775-1820",
            "fax_number": "903-213-9263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 W LAMBERTH RD",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750922658",
            "telephone_number": "877-258-6331",
            "fax_number": "718-362-1651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME REACH MOBILE WOUND CARE CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-31",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A",
        "authorized_official_last_name": "AULT",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-775-1820",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.