Organization Active NPI

RDM Home Medical, LLC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Graham, TX
National Provider Identifier
1790285468
Registry record updated Jun 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
Legal business name
RDM HOME MEDICAL, LLC
Practice address
602 Oak St
Graham, TX 76450-3040
Phone
(940) 521-9917
Fax
(940) 521-9119
NPI assigned
Feb 19, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2023

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

Authorized official

Name
Rebecca Richardson
Title
Owner
Phone
(940) 456-0009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0002X Primary

Addresses

Primary practice location

602 Oak St
Graham, TX 76450-3040

Mailing address

602 Oak St
Graham, TX 76450-3040
Phone (940) 456-0009

Other practice location 1

1708 Kell Blvd
Wichita Falls, TX 76301-5627
Phone (940) 696-8068

Other names 1

  • BeyondFaith Palliative Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180402001392 TX Part B Supplier - Clinic/Group Practice 0345502365 Receives reassigned benefits from 8 practitioners
Practice locations: Graham, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2146782RDB Home Medical Dba Beyondfaith Palliative Care602 Oak Street, Graham, TX 76450Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Locations

604 Oak St
Graham, TX 76450

602 Oak St
Graham, TX 76450
Phone (940) 521-9915

1708 Kell Blvd
Wichita Falls, TX 76301
Phone (940) 322-1927

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1518998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685577600000",
    "number": "1790285468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 OAK ST",
            "city": "GRAHAM",
            "state": "TX",
            "postal_code": "764503040",
            "telephone_number": "940-456-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 OAK ST",
            "city": "GRAHAM",
            "state": "TX",
            "postal_code": "764503040",
            "telephone_number": "940-521-9917",
            "fax_number": "940-521-9119"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1708 Kell Blvd",
            "address_purpose": "LOCATION",
            "city": "Wichita Falls",
            "state": "TX",
            "postal_code": "763015627",
            "country_code": "US",
            "telephone_number": "940-696-8068",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RDM HOME MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-19",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "940-456-0009"
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BeyondFaith Palliative Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Graham, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.