NPIMap

Organization Active NPI

East Texas Medical Home Services

  • Home Health Agency
  • Tyler, TX
National Provider Identifier
1700885886
Registry record updated Nov 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
007122 Issued in TX
Legal business name
EAST TEXAS MEDICAL HOME SERVICES
Practice address
1409 S Beckham Ave
Suite 300
Tyler, TX 75701-3326
Phone
(903) 535-6051
Fax
(903) 535-6058
NPI assigned
Jul 20, 2005
Last updated
Nov 16, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2007

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

Authorized official

Name
Ms. Traci K. Anderson
Title
Area Director of Operations
Phone
(903) 535-6056

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 007122 TX Primary

Addresses

Primary practice location

1409 S Beckham Ave
Suite 300
Tyler, TX 75701-3326

Mailing address

1409 S Beckham Ave
Suite 300
Tyler, TX 75701-3326
Phone (903) 535-6051

Other names 1

  • ETMC Home Health - Central Other name

National Provider Directory

National Provider Directory
Tax ID family
East Texas Medical Center Home Services3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1409 S Beckham Ave
Ste 300
Tyler, TX 75701
Phone (903) 535-6051

NPI Registry JSON

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195171200000",
    "number": "1700885886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 S BECKHAM AVE",
            "address_2": "SUITE 300",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757013326",
            "telephone_number": "903-535-6051",
            "fax_number": "903-535-6058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 S BECKHAM AVE",
            "address_2": "SUITE 300",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757013326",
            "telephone_number": "903-535-6051",
            "fax_number": "903-535-6058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST TEXAS MEDICAL HOME SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-20",
        "last_updated": "2007-11-16",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "TRACI",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "AREA DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "903-535-6056",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "007122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ETMC Home Health - Central",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; 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.