Organization Active NPI

Big Country Healthcare Services LLC

Doing business as Big Country Healthcare Services

  • Home Health Agency
  • Abilene, TX
National Provider Identifier
1801912050
Registry record updated Apr 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
010529 Issued in TX
Legal business name
BIG COUNTRY HEALTHCARE SERVICES LLC
Doing business as
Big Country Healthcare Services
Practice address
749 Gateway St. Building F
Suite 702
Abilene, TX 79602-1196
Phone
(325) 675-0559
Fax
(325) 675-0591
NPI assigned
Mar 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2021

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

Authorized official

Name
Mrs. Johnnie Christine Hudson, RNNPI 1740210525
Title
Owner/Administrator
Phone
(325) 675-0559

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 010529 TX Primary

Addresses

Primary practice location

749 Gateway St. Building F
Suite 702
Abilene, TX 79602-1196

Mailing address

749 Gateway St. Building F
Suite 702
Abilene, TX 79602-1196
Phone (325) 675-0559

Other names 1

  • Big Country Healthcare Services Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060810000343 TX Part A Provider - Home Health Agency 6406859537 Practice locations: Abilene, TX

Home health agency certification: CCN 679576

Legal name
BIG COUNTRY HEALTHCARE SERVICES LLC
Doing business as
BIG COUNTRY HEALTHCARE SERVICES
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 31, 2006
Last certification
Dec 4, 2019
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Enrollment address
2434 S 7TH St
Abilene, TX 79605-3149

Care Compare: Home health agency

Medicare Care Compare
Listed as
Big Country Healthcare Services LLCCCN 679576 · All quality measures
Overall star rating
2.5 of 5
Ownership
Proprietary
Certified
Oct 31, 2006
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Physical therapy, Speech pathology, Occupational therapy

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
45D1054902Big Country Healthcare Services2434 South 7TH St, Abilene, TX 79605Certificate of waiverJun 4, 2028

National Provider Directory

National Provider Directory

Locations

2434 S 7th St
Abilene, TX 79605
Phone (325) 437-4005

749 Gateway
Ste 702
Abilene, TX 79602
Phone (325) 530-4089

162 Caddo Dr
Ste 130
Abilene, TX 79602

4401 Crawford Dr
Ste A
Abilene, TX 79602
Phone (325) 675-0559

3900 N 1st St
Ste 10
Abilene, TX 79603
Phone (325) 675-0559

749 Gateway
Ste F702
Abilene, TX 79602
Phone (325) 530-4089

3444 N 1st St
Abilene, TX 79603
Phone (325) 675-0559

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Blake a Erdely Individual 5% Or Greater Direct Ownership Interest Jul 14, 2021 100%
W-2 Managing EmployeePresident Jul 14, 2021

Practitioners & affiliated clinicians

Practitioners 2

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

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617235200000",
    "number": "1801912050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "749 GATEWAY ST. BUILDING F",
            "address_2": "SUITE 702",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796021196",
            "telephone_number": "325-675-0559",
            "fax_number": "325-675-0591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "749 GATEWAY ST. BUILDING F",
            "address_2": "SUITE 702",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796021196",
            "telephone_number": "325-675-0559",
            "fax_number": "325-675-0591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG COUNTRY HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A",
        "authorized_official_last_name": "HUDSON",
        "authorized_official_first_name": "JOHNNIE",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "325-675-0559",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "010529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Big Country Healthcare Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Big Country Healthcare Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Abilene, TX

Sources for this page

Verify at the official NPI Registry.