Organization Active NPI

Pediatric Advanced Life Services Home Health LLC

  • Home Health Agency
  • Waco, TX
National Provider Identifier
1649662495
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PEDIATRIC ADVANCED LIFE SERVICES HOME HEALTH LLC
Practice address
510 N Valley Mills Dr Ste 201
Waco, TX 76710-6076
Phone
(254) 307-8607
Fax
(254) 765-2501
NPI assigned
Mar 2, 2015
Last updated
Dec 5, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2025

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

Authorized official

Name
Natasha James, BSN, RNNPI 1902383326
Title
Owner
Phone
(254) 307-8607

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Community Based Hospice Care Agency 251G00000X
Child Physical Disabilities Respite Care 385HR2065X

Addresses

Primary practice location

510 N Valley Mills Dr Ste 201
Waco, TX 76710-6076

Mailing address

510 N Valley Mills Dr Ste 201
Waco, TX 76710-6076
Phone (254) 307-8607

Other practice location 1

11903 Frankford Ave
Lubbock, TX 79424-6781
Phone (806) 705-8607

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
45D2101054Pediatric Advanced Life Services Home Health LLC510 N Valley Mills Dr Ste 201, Waco, TX 76710Certificate of waiverAug 25, 2027
45D2225163Pediatric Advanced Life Services Home Health LLC11903 Frankford Ave Ste 300, Lubbock, TX 79424Certificate of waiverMay 18, 2027

National Provider Directory

National Provider Directory

Locations

11903 Frankford Ave
Lubbock, TX 79424
Phone (806) 705-8607

3640 W Waco Dr
Waco, TX 76710
Phone (254) 307-8607

510 N Valley Mills Dr
Ste 201
Waco, TX 76710
Phone (254) 307-8607

Practitioners & affiliated clinicians

Practitioners 28

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.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1425254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764892800000",
    "number": "1649662495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 N VALLEY MILLS DR STE 201",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767106076",
            "telephone_number": "254-307-8607",
            "fax_number": "254-765-2501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 N VALLEY MILLS DR STE 201",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767106076",
            "telephone_number": "254-307-8607",
            "fax_number": "254-765-2501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11903 Frankford Ave",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794246781",
            "country_code": "US",
            "telephone_number": "806-705-8607",
            "fax_number": "806-329-2175",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PEDIATRIC ADVANCED LIFE SERVICES HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-02",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "NATASHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "254-307-8607",
        "authorized_official_credential": "BSN, RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2065X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Physical Disabilities, Child",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2025; 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.