PATHFINDER PEDIATRIC HOME CARE, INC. (NPI# 1144501487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144501487 |
| Entity Type | Organization |
| Organization Name | PATHFINDER PEDIATRIC HOME CARE, INC. |
| Practice Address |
2490 Boonville Rd Ste 130 Bryan TX 77808-2327 |
| Practice Telephone | 9797742244 |
| Practice Fax Number | 9797742299 |
| Mailing Telephone | 9797742244 |
| Mailing Fax Number | 9797742299 |
| Enumeration Date | 2011-08-31 |
| Last Update Date | 2011-08-31 |
| Authorized Official Name | JOHN ADAM WILCOX (PRESIDENT) |
| Authorized Official Telephone | 2817054756 |
| Authorized Official Credential | JD |
| Is Organization Subpart | Y |
| Parent Organization Name | PATHFINDER PEDIATRIC HOME CARE, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 012397 | TX | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346505831 | Pathfinder Pediatric Home Care, Inc. | Home Health | 612 W Main St, Suite 102, League City, TX 77573-3769 | 2012-07-10 |
| 1134371651 | Pathfinder Pediatric Home Care, Inc. | Home Health | 25018 Oakhurst Dr, Spring, TX 77386-2722 | 2008-10-15 |
| 1285999771 | Pathfinder Pediatric Home Care, Inc. | Home Health | 612 W Main St, Suite 102, League City, TX 77573-3769 | 2012-07-10 |
| 1639451958 | Pathfinder Pediatric Home Care, Inc. | Home Health | 14090 Southwest Fwy, Sugar Land, TX 77478-3677 | 2011-09-13 |
| Street Address |
2490 BOONVILLE RD STE 130 |
| City | BRYAN |
| State | TX |
| Zip Code | 77808-2327 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528625605 | Erin Anne Reynoso | Midwife | 10387 Taylor Rd, Bryan, TX 77808 | 2019-05-23 |
| 1811015878 | Charity A Karpac | Internal Medicine | 2410 Boonville Road, Bryan, TX 77808 | 2007-03-27 |
| 1760585194 | Aaron Keith Buzzard | Emergency Medicine | 10485 S Fm 2038, Bryan, TX 77808 | 2006-09-07 |
| 1053834135 | Bv Emergency Physicians, Pllc | Clinic/Center | 2411 Boonville Rd, Bryan, TX 77808 | 2017-07-20 |
| 1326686114 | Reed Kristynik | Contractor | 2502 Clarks Ln Ste 100, Bryan, TX 77808-1333 | 2019-12-12 |
| 1033634423 | Julie Ann Stark | Registered Nurse | 3510 Wakefield Dr, Bryan, TX 77808-1430 | 2017-08-07 |
| 1093958233 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2350 Boonville Rd, Bryan, TX 77808-2225 | 2009-04-17 |
| 1700114568 | Thomas Micheal Hohensee | Pharmacist | 2350 Boonville Rd, Bryan, TX 77808-2225 | 2009-12-05 |
| 1265760292 | Carole L Copeland | Pharmacist | 2350 Boonville Rd, Bryan, TX 77808-2225 | 2009-12-02 |
| 1164634606 | Sybil Jane Taquet | Family Medicine | 2410 Boonville Rd, Bryan, TX 77808-2226 | 2007-05-04 |
| Find all providers in zip 77808 | ||||
| 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 |
|---|---|---|---|---|
| 1790392108 | Sotera Health LLC | Home Health | 1121 Briarcrest Dr Ste 102, Bryan, TX 77802-2500 | 2020-09-29 |
| 1720567621 | Daniel Gordon Buck | Home Health | 2337 W Briargate Dr, Bryan, TX 77802-2118 | 2018-08-10 |
| 1235549098 | Regina V. Robertson | Home Health | 1121 Briarcrest Dr., Suite 102, Bryan, TX 77802 | 2014-05-02 |
| 1750622999 | Community Health Professionals, Inc. | Home Health | 127 Blakeslee Ave, Bryan, OH 43506-1692 | 2013-03-13 |
| 1679834568 | Kmkg, LLC | Home Health | 708 W 26th St, Bryan, TX 77803-2428 | 2012-06-06 |
| 1417218314 | M & Kh, LLC | Home Health | 4001 East 29th Street Ste. 190, Bryan, TX 77802-4211 | 2012-06-06 |
| 1568752285 | Girling Health Care Inc. | Home Health | 3201 University Dr E Ste 350, Bryan, TX 77802-3484 | 2011-04-14 |
| 1922200120 | Americare Staffing, Ltd | Home Health | 102 W Bryan St, Bryan, OH 43506-1202 | 2007-06-01 |
| 1376636365 | Daniel Jarvis Home Health Agency | Home Health | 4021 E 29th St, Suite 104, Bryan, TX 77802-4227 | 2006-10-02 |
| 1144267030 | Brazos Valley Community Action Agency | Home Health | 100 Brookside Dr W, Bryan, TX 77801-3605 | 2006-06-01 |
| Find all providers in BRYAN | ||||
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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.