Advanced Pediatric Care, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

007953 Issued in TX

Legal business name

ADVANCED PEDIATRIC CARE, INC.

Practice address

3330 Fannin St
Beaumont, TX 77701-3801

Phone

(409) 832-3304

Fax

(409) 835-2799

NPI assigned

May 25, 2006

Last updated

Oct 15, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Diane Shaffer Bass X, M.S.NPI 1235202052

Title

President

Phone

(409) 832-3304

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1811943467. Details of each certification follow.

• CCN 677648 Home health agency · Active · Details

Home health agency certification: CCN 677648

Legal name

ADVANCED PEDIATRIC CARE, INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jul 6, 1993

Last certification

Jul 29, 2020

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

May 17, 1999 in TX

Enrollment address

3330 Fannin St
Beaumont, TX 77701-3801

Listed as

Advanced Pediatric Care IncCCN 677648 · All quality measures

Ownership

Proprietary

Certified

Jul 6, 1993

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social

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

CLIA laboratory certificates

All disclosed owners & managing parties 2

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Diane Shaffer Bass, M.S.-CCC(A)

  • Audiologist
  • Beaumont, TX
  • NPI 1235202052
  Authorized official Same address or phone

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760486400000",
    "number": "1811943467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 FANNIN ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777013801",
            "telephone_number": "409-832-3304",
            "fax_number": "409-835-2799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 FANNIN ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777013801",
            "telephone_number": "409-832-3304",
            "fax_number": "409-835-2799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PEDIATRIC CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A",
        "authorized_official_last_name": "BASS",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "SHAFFER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "409-832-3304",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_name_suffix": "X",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "007953",
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001004272",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "162591501",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "HH307H",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; 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.
• 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.