East Texas Careteam Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

005903 Issued in TX

Legal business name

EAST TEXAS CARETEAM INC.

Practice address

4362 N US Highway 259
Longview, TX 75605-7674

Phone

(903) 663-2331

Fax

(903) 663-4831

NPI assigned

May 19, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Michelle Jeanette Solis, RN

Title

Owner/Administrator

Phone

(903) 663-2331

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Locations

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• Traditions Health Care of Longview, LLC

  • Home Health Agency
  • Longview, TX
  • NPI 1194264812

  Sold to, 2017-03-10

  CMS change of ownership

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321833600000",
    "number": "1811940844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4362 N US HIGHWAY 259",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756057674",
            "telephone_number": "903-663-2331",
            "fax_number": "903-663-4831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4362 N US HIGHWAY 259",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756057674",
            "telephone_number": "903-663-2331",
            "fax_number": "903-663-4831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST TEXAS CARETEAM INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2011-11-21",
        "status": "A",
        "authorized_official_last_name": "SOLIS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "JEANETTE",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "903-663-2331",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "005903",
            "primary": true
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "TX",
            "license": "005903",
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "TX",
            "license": "012954",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1002198",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "025111801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carl Richard Earnest, M.D.
• Sarah Faye Earnest, FNP
• Lasandra Easley
• East Texas Allergy & Asthma Associates
• East Texas Border Health Clinic
• East Texas Careteam, Inc
• East Texas Case Management Referral Service
• East Texas Case Management Referral Service
• East Texas Case Management Referral Service
• East Texas Case Management Referral Service

• Home Health Agency in Longview, TX
• Providers in Longview, 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 Nov 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.