CUSTOM HOME CARE (NPI# 1124325204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124325204 |
| Entity Type | Organization |
| Organization Name | CUSTOM HOME CARE |
| Practice Address |
1400 W. 14th Amarillo TX 79101-4005 |
| Mailing Address |
701 Park Place Ave Amarillo TX 79101-4005 |
| Practice Telephone | 8063375953 |
| Practice Fax Number | 8063375174 |
| Mailing Telephone | 8063375292 |
| Mailing Fax Number | 8063569586 |
| Enumeration Date | 2011-02-25 |
| Last Update Date | 2011-02-25 |
| Authorized Official Name | DR. WESLEY LEROY LANGHAM (SENIOR VICE PRESIDENT) |
| Authorized Official Telephone | 8063375296 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | BAPTIST COMMUNITY SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Vermont Business Registrations | CUSTOM HOME CARE | Po Box 543, E Barre, VT 05649 |
| Colorado Business Entities | Custom Home Care | 517 Cornell Ave, Fort Collins, CO 80525 |
| Colorado Business Entities | Custom Home Care Ltd | 393 South Sherman Street, Denver, CO 80209 |
| Colorado Business Entities | Custom Home Care Services, llc | 517 Cornell Ave, Fort Collins, CO 80525 |
| Street Address |
1400 W. 14TH |
| City | AMARILLO |
| State | TX |
| Zip Code | 79101-4005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659926590 | Amanda Gail Morgan | Nurse Practitioner | 1501 S. Polk Street, Amarillo, TX 79101 | 2019-08-07 |
| 1346659232 | Kara Sliney | Speech-Language Pathologist | 600 S. Tyler, Amarillo, TX 79101 | 2014-08-05 |
| 1417068214 | Rupert Barron Jr. | Dentist | 206 Ne 7th, Amarillo, TX 79101 | 2006-08-31 |
| 1962513150 | Elizabeth Hagen Smith | Counselor | 112 West 8th St, Suite 800, Amarillo, TX 79101 | 2006-08-31 |
| 1073538765 | Sandra Kay Tripp | Counselor | 112 W 8th, Suite 800, Amarillo, TX 79101 | 2006-07-13 |
| 1528042892 | Nurses Unlimited Inc | Home Health | 600 S Tyler St, Suite 804, Amarillo, TX 79101 | 2005-12-01 |
| 1881219079 | Here Not There Healthcare | Clinic/Center | 600 S Tyler St, Suite 2100 #105, Amarillo, TX 79101 | 2020-06-12 |
| 1841549029 | Lana Brianne Steinle | Speech-Language Pathologist | 112 Sw 8th Ave, Suite 301-3, Amarillo, TX 79101 | 2012-09-05 |
| 1174600282 | Emily Neece Wilson | Counselor | 112 W 8th, Suite 800, Amarillo, TX 79101 | 2006-11-01 |
| 1669565404 | Harold Olesen | Dentist | 206 Ne 7th, Amarillo, TX 79101 | 2006-10-02 |
| Find all providers in zip 79101 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811508013 | Heather Gorecki | Home Health | 3318 Paramount Blvd, Amarillo, TX 79109-3352 | 2020-08-11 |
| 1023587631 | High Plains Hca LLC | Home Health | 7306 Sw 34th Ave Ste 2, Amarillo, TX 79121-1446 | 2018-11-14 |
| 1770092066 | Ama Ruby Slippers Care Inc | Home Health | 2300 N Western, Amarillo, TX 79124 | 2017-09-29 |
| 1942727300 | Patriot Placement Recruitment LLC | Home Health | 2105 Briarwood Dr, Amarillo, TX 79124-1103 | 2017-08-27 |
| 1245650282 | Epic Healthcare Services | Home Health | 1901 Medipark Drive, Suite D 2408, Amarillo, TX 79106 | 2014-04-17 |
| 1679900914 | Home Care Elite | Home Health | 5706 Notre Dame Dr, Amarillo, TX 79109-6662 | 2013-10-01 |
| 1750626800 | Bsa Hospital, LLC | Home Health | 721 N Taylor St, Amarillo, TX 79107-5279 | 2012-11-30 |
| 1720397854 | In Motion On-site Rehab Services LLC | Home Health | 2900 Climer Cir, Amarillo, TX 79124-2323 | 2010-10-07 |
| 1235458118 | Amedisys Texas LLC | Home Health | 1619 South Kentucky Street, Suite F-630, Amarillo, TX 79102-2223 | 2010-05-18 |
| 1588996722 | Medical Staffing Network, Inc. | Home Health | 1901 Medi Park Dr Ste 39, Amarillo, TX 79106-2105 | 2010-02-12 |
| Find all providers in AMARILLO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.