Organization Active NPI

Refined Unlimited Healthcare, LLC.

  • In Home Supportive Care Agency
  • Tyler, TX
National Provider Identifier
1972251767
Registry record updated Mar 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
REFINED UNLIMITED HEALTHCARE, LLC.
Practice address
3334 S SW Loop 323 Ste 119
Tyler, TX 75701-9237
Phone
(434) 429-2944
NPI assigned
Mar 11, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2022

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

Authorized official

Name
Dr. Phoneshia Wells, D.H. ED.NPI 1700544517
Title
Administrator
Phone
(434) 429-2944

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Home Infusion Agency 251F00000X
In Home Supportive Care Agency 253Z00000X Primary
Personal Care AttendantGroup: 193200000X MULTI-SPECIALTY GROUP 3747P1801X
Respite Care 385H00000X

Addresses

Primary practice location

3334 S SW Loop 323 Ste 119
Tyler, TX 75701-9237

Mailing address

3334 S SW Loop 323 Ste 119
Tyler, TX 75701-9237
Phone (434) 429-2944

National Provider Directory

National Provider Directory

Locations

3334 S Southwest Loop 323
Ste 119
Tyler, TX 75701
Phone (434) 429-2944

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1646956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648080000000",
    "number": "1972251767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3334 S SW LOOP 323 STE 119",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757019237",
            "telephone_number": "434-429-2944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3334 S SW LOOP 323 STE 119",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757019237",
            "telephone_number": "434-429-2944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REFINED UNLIMITED HEALTHCARE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-11",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "PHONESHIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "434-429-2944",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.H. ED."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Mar 24, 2022; 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.