Home Care X-Ray Service, Inc.

Primary specialty

Radiography Radiologic TechnologistTaxonomy code 2471C3402X

License

R14566 Issued in TX

Legal business name

HOME CARE X-RAY SERVICE, INC.

Practice address

207 Buckingham PL
Hewitt, TX 76643-4204

Phone

(254) 666-6192

Fax

(254) 666-6198

NPI assigned

Jun 6, 2007

Last updated

Aug 5, 2008By 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

Mr. Michael A Green, R.T.

Title

President

Phone

(254) 666-6192

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217894400000",
    "number": "1932302049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23243",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767023243",
            "telephone_number": "254-666-6192",
            "fax_number": "254-666-6198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 BUCKINGHAM PL",
            "city": "HEWITT",
            "state": "TX",
            "postal_code": "766434204",
            "telephone_number": "254-666-6192",
            "fax_number": "254-666-6198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME CARE X-RAY SERVICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2008-08-05",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "254-666-6192",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.T."
    },
    "taxonomies": [
        {
            "code": "2471C3402X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist, Radiography",
            "state": "TX",
            "license": "R14566",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA-RAILROAD MED",
            "identifier": "630000131",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "086075101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hewitt SCC LLC (Hewitt Nursing & Rehab)
• Hewitt Vision, PLLC (Hewitt Vision)
• Ashley Hickman, COTA
• Rebecca Holloway, RBT
• Rebecca Michelle Kay Holmstrom, LCSW
• Nicole Huber
• Janet Hutcheson, SPEECH-LANGUAGE PATH
• Cierra Jackson, BCBA
• Jeremie Holdings LLC (Home Instead Waco)
• Nina Pauline Johnson, LCSW

• Radiography Radiologic Technologist in Hewitt, TX
• Providers in Hewitt, TX by specialty
• Radiography Radiologic Technologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2008; 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.