Candella L Farmer, HHM
Individual provider Active NPI Home Health Agency · Big Sandy, TX
NPI 1639832009 · NPPES record last updated Oct 21, 2021
Key facts
- NPI
- 1639832009
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Agency 251E00000X
- License
- 872811470 (TX)
- Practice address
- 235 Private Road 3490
Big Sandy, TX 75755-5906 - Phone
- (903) 617-0712
- NPI assigned
- Oct 21, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 872811470 | TX | MD | Home Health Agency |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Point of Service | 305S00000X | |||
| Home Health Agency | 251E00000X | 872811470 | TX | Yes |
Addresses
Primary practice location
235 Private Road 3490
Big Sandy, TX 75755-5906
Mailing address
235 Private Road 3490
Big Sandy, TX 75755-5906
Phone (903) 617-0712
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3975527579 | Medicaid | TX |
Other providers in Big Sandy, TX
- Bradley Joseph Armendariz
- Big Sandy Isd
- Tira Lynn Brocato
- Cuevas Support Therapy, PLLC
- Dolores Patricia Cuevas
- Stenet Palmer Frost
- Harmony Isd
- Stephen Ted Harvey
- Melissa A Holmes
- Wendi Gay Johnston
All providers in Big Sandy, TX · Home Health Agency in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 21, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.