Panaceb Enterprise LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

014090 Issued in TX

Legal business name

PANACEB ENTERPRISE LLC

Practice address

3901 Arlington Highlands Blvd
Suite 200
Arlington, TX 76018-6036

Phone

(817) 374-4300

Fax

(817) 704-4657

NPI assigned

Jul 18, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Jose Andy Ceballos

Title

Director

Phone

(817) 374-4300

Specialties & licenses 1

Addresses

Other names 1

• Griswold Home Care Doing business as

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

{
    "created_epoch": "1310947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426550400000",
    "number": "1982992558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 ARLINGTON HIGHLANDS BLVD",
            "address_2": "SUITE 200",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760186036",
            "telephone_number": "817-374-4300",
            "fax_number": "817-704-4657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 ARLINGTON HIGHLANDS BLVD",
            "address_2": "SUITE 200",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760186036",
            "telephone_number": "817-374-4300",
            "fax_number": "817-704-4657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANACEB ENTERPRISE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-18",
        "last_updated": "2015-03-17",
        "status": "A",
        "authorized_official_last_name": "CEBALLOS",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "ANDY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "817-374-4300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "TX",
            "license": "014090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Griswold Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Orinda M Palmer
• Sharon Louise Palmer, LMSW
• Thenessa Mack Palmer, LPC
• Pamela Adenuga
• Philip Pan, D.D.S.
• Paul Angelo Panaga, PMHNP-BC
• Niousha Panahi
• Saman Panahipour
• Miranda Panasiti
• Eric Francisco Pando, M.D.

• In Home Supportive Care Agency in Arlington, TX
• Providers in Arlington, TX by specialty
• In Home Supportive Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2015; 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.