Active NPI
South Plains Community Action Association, Inc.
- Developmentally Disabled Services Day Training Agency
- Levelland, TX
National Provider Identifier
1699831685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- Legal business name
- SOUTH PLAINS COMMUNITY ACTION ASSOCIATION, INC.
- Doing business as
- Community Action Home Health
- Practice address
- 410 Houston St
Levelland, TX 79336-4044 - Phone
- (806) 894-7872
- Fax
- (806) 894-1621
- NPI assigned
- Dec 28, 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
- Lisa J Maddox, RN
- Title
- Administrator
- Phone
- (806) 894-7872
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | Primary | ||
| Adult Companion | 372600000X | |||
| Home Health Aide | 374U00000X | |||
| Homemaker | 376J00000X |
Addresses
Primary practice location
410 Houston St
Levelland, TX 79336-4044
Mailing address
PO Box 610
Levelland, TX 79336-0610
Phone (806) 894-6104
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000021100 | Medicaid | TX | |
| 000652300 | Medicaid | TX |
Other names 1
- Community Action Home Health
National Provider Directory
National Provider Directory- Tax ID family
- Community Action Home Health
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Levelland, TX
- NPI 1255497723
-
- Home Health Agency
- Levelland, TX
- NPI 1942366695
-
- Non-emergency Medical Transport (VAN)
- Levelland, TX
- NPI 1992114474
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1713312000000",
"number": "1699831685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 610",
"city": "LEVELLAND",
"state": "TX",
"postal_code": "793360610",
"telephone_number": "806-894-6104",
"fax_number": "806-897-0835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 HOUSTON ST",
"city": "LEVELLAND",
"state": "TX",
"postal_code": "793364044",
"telephone_number": "806-894-7872",
"fax_number": "806-894-1621"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH PLAINS COMMUNITY ACTION ASSOCIATION, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-28",
"last_updated": "2024-04-17",
"certification_date": "2024-04-17",
"status": "A",
"authorized_official_last_name": "MADDOX",
"authorized_official_first_name": "LISA",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "806-894-7872",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": true
},
{
"code": "372600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Adult Companion",
"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": "000021100",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000652300",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Community Action Home Health",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Community Action Home Health",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Levelland, TX
- John Robert Slider, OD
- SLP Levelland LLC
- South Plains College
- South Plains Community Action Association, Inc.
- South Plains Community Action Association, Inc.
- South Plains Community Action Association, Inc.
- South Plains Community Action Association, Inc.
- South Plains Community Action Association, Inc.
- South Plains Rural Health Services Inc
- South Plains Rural Health Services Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.