East Texas Medical Center Home Services

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

007296 Issued in TX

Legal business name

EAST TEXAS MEDICAL CENTER HOME SERVICES

Doing business as

ETMC Home Health - West

Practice address

1336 S. Palestine Street
Athens, TX 75751

Phone

(903) 675-8882

Fax

(903) 675-8832

NPI assigned

Jul 20, 2005

Last updated

Oct 11, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Curt L Smith

Title

Corp. Director/Administrator

Phone

(903) 535-6051

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• ETMC Home Health - West Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• East Texas Home Health Services LLC

  dba UT Health East Texas Home Health Services

  • Home Health Agency
  • Athens, TX
  • NPI 1760980668

  Sold to, 2018-03-01

  CMS change of ownership

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318291200000",
    "number": "1699774778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2681",
            "city": "ATHENS",
            "state": "TX",
            "postal_code": "75751",
            "telephone_number": "903-675-8882",
            "fax_number": "903-675-8832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1336 S. PALESTINE STREET",
            "city": "ATHENS",
            "state": "TX",
            "postal_code": "75751",
            "telephone_number": "903-675-8882",
            "fax_number": "903-675-8832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST TEXAS MEDICAL CENTER HOME SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-20",
        "last_updated": "2011-10-11",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CURT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CORP. DIRECTOR/ADMINISTRATOR",
        "authorized_official_telephone_number": "903-535-6051",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "007296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0247322-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ETMC Home Health - West",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• East Texas Eye Care Associates, PLLC (The Optical Shop)
• East Texas Family Guidance Center
• East Texas Home Health Services LLC (UT Health East Texas Home Health Services)
• East Texas Medical Center Athens
• East Texas Medical Center Healthcare Associates (First Physicians)
• East Texas Medical Imaging
• East Texas Pathology Laboratories
• East Texas Psychological Services, PLLC
• East Texas Radiological Consultants P a
• Eastern Texas Pathology Laboratories, LLC

• Home Health Agency in Athens, TX
• Providers in Athens, 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 Oct 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.