Wallace Affordable Care Services

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

WALLACE AFFORDABLE CARE SERVICES

Doing business as

Peace Of Mind HCS

Practice address

2005 Manning Way
Bryan, TX 77803-7417

Phone

(979) 324-2635

NPI assigned

May 23, 2022

Organization subpart

No

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

Authorized official

Name

Sheldon Wallace

Title

Owner/Administrator

Phone

(979) 324-2635

Specialties & licenses 7

Addresses

Other identifiers 3

Other names 1

• Peace Of Mind HCS Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1653264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674172800000",
    "number": "1669110318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 DELLWOOD ST # 337",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778025363",
            "telephone_number": "512-730-1561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 MANNING WAY",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778037417",
            "telephone_number": "979-324-2635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALLACE AFFORDABLE CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-23",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "SHELDON",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "979-324-2635"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HOMECARE",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PERSONALCARE",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOMECARE",
            "identifier": "COMPANION",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sheldon.wallace@brazoshch.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2005 Manning Way",
            "city": "Bryan",
            "state": "TX",
            "country_code": "US",
            "postal_code": "778037417",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Peace Of Mind HCS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brittany Machelle Walker, DDS
• Clifford David Walker II, DC
• Madisen Janae Walker, NP
• Robin Walker, L.P.C
• Robin Christina Walker, FNP
• Crystal Walraven, PTA
• Ryan K Walter, MD
• Kristina Walters, MA, LPC
• Jennifer Walton
• Andrew Z Wang

• Home Health Agency in Bryan, TX
• Providers in Bryan, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2023; 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.