Active NPI
Titus Regional Medical Foundation
- Home Health Agency
- Mt Pleasant, TX
National Provider Identifier
1679657704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- TITUS REGIONAL MEDICAL FOUNDATION
- Practice address
- 2001 N Jefferson Ave
Ste #132
Mt Pleasant, TX 75455-2387 - Phone
- (903) 572-6418
- Fax
- (903) 572-6883
- NPI assigned
- Oct 25, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Terry Scoggin, CEO
- Title
- Chief Executive Officer
- Phone
- (903) 577-6066
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary | ||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 11419 | TX |
Addresses
Primary practice location
2001 N Jefferson Ave
Ste #132
Mt Pleasant, TX 75455-2387
Mailing address
2001 N Jefferson Ave
Ste #132
Mt Pleasant, TX 75455-2387
Phone (903) 572-6418
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 150851 | Medicaid | TX | |
| 2096388 | Other | PK | |
| 149074 | Medicaid | TX |
Other names 1
- MEDICAL CENTER FAMILY PHARMACY
National Provider Directory
National Provider Directory- Tax ID family
- Clarksville Nursing Center
Other organizations with this tax ID 6
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- Henderson, TX
- NPI 1366841694
-
- Skilled Nursing Facility
- Kilgore, TX
- NPI 1376942656
-
- Skilled Nursing Facility
- Clarksville, TX
- NPI 1477952794
-
- Skilled Nursing Facility
- Sulphur Springs, TX
- NPI 1659770907
-
- Skilled Nursing Facility
- Paris, TX
- NPI 1710386040
-
- Skilled Nursing Facility
- Tyler, TX
- NPI 1972902245
Locations
2001 N Jefferson Ave
Ste 132
Mt Pleasant, TX 75455
Phone (903) 572-6418
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736380800000",
"number": "1679657704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 N JEFFERSON AVE",
"address_2": "STE #132",
"city": "MT PLEASANT",
"state": "TX",
"postal_code": "754552387",
"telephone_number": "903-572-6418",
"fax_number": "903-572-6883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 N JEFFERSON AVE",
"address_2": "STE #132",
"city": "MT PLEASANT",
"state": "TX",
"postal_code": "754552387",
"telephone_number": "903-572-6418",
"fax_number": "903-572-6883"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TITUS REGIONAL MEDICAL FOUNDATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-25",
"last_updated": "2025-01-09",
"status": "A",
"authorized_official_last_name": "SCOGGIN",
"authorized_official_first_name": "TERRY",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "903-577-6066",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CEO"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "TX",
"license": "11419",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "150851",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2096388",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "149074",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "MEDICAL CENTER FAMILY PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mt Pleasant, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.