BAYOU HOMECARE LP (NPI# 1164628350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164628350 |
| Entity Type | Organization |
| Organization Name | BAYOU HOMECARE LP |
| Other Organization Name | INTERIM HEALTHCARE |
| Practice Address |
6428 S General Bruce Dr Temple TX 76502-5830 |
| Mailing Address |
3305 101st St Ste 100 Lubbock TX 79423-4076 |
| Practice Telephone | 2547714131 |
| Practice Fax Number | 2547710752 |
| Mailing Telephone | 8067710588 |
| Mailing Fax Number | 8066875966 |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2019-11-12 |
| Authorized Official Name | MR. JIM BULLARD (PRESIDENT) |
| Authorized Official Telephone | 8067710995 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | 011589 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225X00000X | Occupational Therapist | 011589 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 251J00000X | Nursing Care | 011589 | TX | Agencies |
| N | 261QH0700X |
Clinic/Center Specialization: Hearing and Speech |
011589 | TX | Ambulatory Health Care Facilities |
| Y | 251E00000X | Home Health | 011589 | TX | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | STATE OPERATOR LICENSE | 011589 | 01 |
| TX | 199925201 | 05 |
| Other Name | Type Code |
|---|---|
| Interim Healthcare | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912103102 | Bayou Homecare Lp | Physical Therapist | 164 S Union Ave Ste 101, New Braunfels, TX 78130-6587 | 2007-06-25 |
| Street Address |
6428 S GENERAL BRUCE DR |
| City | TEMPLE |
| State | TX |
| Zip Code | 76502-5830 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477700342 | Joseph & Company | Military Clinical Medical Laboratory | 6428 S General Bruce Dr, Temple, TX 76502-5830 | 2008-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033710850 | Bih Mobanoe Chi | Pharmacist | 6801 West Adams Avenue, Temple, TX 76502 | 2020-11-06 |
| 1639705403 | Robert David Pompella | Chiropractor | 4805 Stone Ridge Dr, Temple, TX 76502 | 2020-03-12 |
| 1275167488 | Luong Dental, LLC | Dentist | 5297 S. 31st Street, Ste 111, Temple, TX 76502 | 2020-02-26 |
| 1093357931 | Ryan T Stephens Dmd Pllc | Dentist | 5408 W. Adams Suite 102, Temple, TX 76502 | 2019-10-11 |
| 1164071817 | Danyelle Denise Pividori | Licensed Vocational Nurse | 992 Marlandwood Rd, Temple, TX 76502 | 2019-09-05 |
| 1831670652 | Jane Lida Jarosz | Registered Nurse | 99 Marlandwood, Temple, TX 76502 | 2018-08-29 |
| 1043791809 | Elsa Gamban Baker | Licensed Practical Nurse | 5711 Hopkins Dr, Temple, TX 76502 | 2018-08-28 |
| 1659859288 | Laura Bright | Licensed Vocational Nurse | 990 Marlanwood, Temple, TX 76502 | 2018-08-06 |
| 1811489974 | Rockdale Blackhawk, LLC | Clinic/Center | 1909 Sw Hk Dodgen Loop, Temple, TX 76502 | 2018-06-05 |
| 1871094573 | Moc Temple, LLC | Skilled Nursing Facility | 725 Marlandwood Rd., Temple, TX 76502 | 2018-02-27 |
| Find all providers in zip 76502 | ||||
| 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 |
|---|---|---|---|---|
| 1083171573 | Jol Home Health Temple LLC | Home Health | 18 E Avenue A, Temple, TX 76501-7620 | 2019-02-21 |
| 1497235881 | Carolyn Brown | Home Health | 1312 N 8th St, Temple, TX 76501-2037 | 2018-08-15 |
| 1154830776 | Entrusted Home Health & Personal Assistance Services LLC | Home Health | 4101 Fox Trl, Temple, TX 76504-3414 | 2017-09-26 |
| 1184154536 | Texas Home Health Group of Temple, LLC | Home Health | 3809 S General Bruce Dr Ste 105b, Temple, TX 76502-1038 | 2017-06-19 |
| 1376082537 | Encompass Home Health | Home Health | 10021 Birch Tree Dr, Temple, Temple, TX 76502-5368 | 2017-02-20 |
| 1881001121 | R Kidz Rock Pediatrics Pllc | Home Health | 1005 Marlandwood Rd Ste 118, Temple, TX 76502 | 2014-07-18 |
| 1548404551 | Temple Meridian Lp | Home Health | 4312 S 31st St, Temple, TX 76502-3313 | 2009-04-22 |
| 1427206549 | Shh Standards Home Health, Inc. | Home Health | 2027 S 61st St Ste 114, Temple, TX 76504-6857 | 2008-09-03 |
| 1730205436 | Ameri Care Health Care Services | Home Health | 1105 N General Bruce Dr, Temple, TX 76504-2468 | 2007-03-22 |
| 1114058096 | Shannons Home Health Inc | Home Health | 201 Clinite Grove Blvd Ste 100, Temple, TX 76502-2354 | 2007-03-09 |
| Find all providers in TEMPLE | ||||
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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.