Southeast Texas Homecare Specialists, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

005104 Issued in TX

Legal business name

SOUTHEAST TEXAS HOMECARE SPECIALISTS, INC.

Practice address

1846 Interstate 10 S
Suite 201
Beaumont, TX 77707-4439

Phone

(409) 842-0077

Fax

(409) 842-2411

NPI assigned

Jan 5, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Stacie Yvonne Fontenot

Title

Ceo

Phone

(409) 842-0077

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720135098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1846 INTERSTATE 10 S",
            "address_2": "SUITE 201",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777074439",
            "telephone_number": "409-842-0077",
            "fax_number": "406-842-2411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1846 INTERSTATE 10 S",
            "address_2": "SUITE 201",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777074439",
            "telephone_number": "409-842-0077",
            "fax_number": "409-842-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST TEXAS HOMECARE SPECIALISTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FONTENOT",
        "authorized_official_first_name": "STACIE",
        "authorized_official_middle_name": "YVONNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "409-842-0077",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "005104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "HH9297",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "005104",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southeast Texas Counseling & Assessment Services, PLLC
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• Southeast Texas EMS
• Southeast Texas Eye Specialists, PLLC
• Southeast Texas Gastroenterology Associates, P.a.
• Southeast Texas Imaging LLP
• Southeast Texas Infectious Disease PLLC
• Southeast Texas Intensivists, PLLC
• Southeast Texas Medical Associates
• Southeast Texas Medical Associates

• Home Health Agency in Beaumont, TX
• Providers in Beaumont, 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 Aug 22, 2020; 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.