Organization Active NPI

Georgetown Healthcare System Inc

  • Home Health Agency
  • Georgetown, TX
National Provider Identifier
1942299698
Registry record updated Dec 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GEORGETOWN HEALTHCARE SYSTEM INC
Practice address
2120 Scenic Dr
Georgetown, TX 78626-7728
Phone
(512) 930-2816
Fax
(512) 869-2494
NPI assigned
Oct 17, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2012

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

Authorized official

Name
Mrs. Janice L. Tucker, R.N.
Title
Administrator
Phone
(512) 930-2816

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2120 Scenic Dr
Georgetown, TX 78626-7728

Mailing address

2120 Scenic Dr
Georgetown, TX 78626-7728
Phone (512) 930-2816

Other identifiers 1

IdentifierTypeStateIssuer
091445902MedicaidTX

Other names 1

  • Georgetown Home Health Doing business as

National Provider Directory

National Provider Directory

Locations

2120 Scenic Dr
Georgetown, TX 78626
Phone (512) 863-4563

NPI Registry JSON

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

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355443200000",
    "number": "1942299698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 SCENIC DR",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786267728",
            "telephone_number": "512-930-2816",
            "fax_number": "512-869-2494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 SCENIC DR",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786267728",
            "telephone_number": "512-930-2816",
            "fax_number": "512-869-2494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGETOWN HEALTHCARE SYSTEM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-17",
        "last_updated": "2012-12-14",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "512-930-2816",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "091445902",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Georgetown Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Georgetown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2012; 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.