NPIMap

Organization Active NPI

Candy Cares

  • Home Health Agency
  • Tyler, TX
National Provider Identifier
1942546569
Registry record updated Dec 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CANDY CARES
Practice address
1414 E Idel St
Tyler, TX 75701-2231
Phone
(903) 526-0351
NPI assigned
Dec 31, 2012
Last updated
Dec 31, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2012

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

Authorized official

Name
Candyce Untrae Jacobs
Title
Owner
Phone
(903) 526-0351

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

1414 E Idel St
Tyler, TX 75701-2231

Mailing address

PO Box 6801
Tyler, TX 75711-6801
Phone (903) 526-0351

National Provider Directory

National Provider Directory
Tax ID family
Candy Cares2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1356912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356912000000",
    "number": "1942546569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6801",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757116801",
            "telephone_number": "903-526-0351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 E IDEL ST",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757012231",
            "telephone_number": "903-526-0351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANDY CARES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-31",
        "last_updated": "2012-12-31",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "CANDYCE",
        "authorized_official_middle_name": "UNTRAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-526-0351"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.