TRADITIONS HEALTH CARE OF ENNIS, LLC (NPI# 1265710909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265710909 |
| Entity Type | Organization |
| Organization Name | TRADITIONS HEALTH CARE OF ENNIS, LLC |
| Other Organization Name | TRADITIONS HEALTH |
| Practice Address |
109 Southwest Main Street, Suite A Ennis TX 75119 |
| Mailing Address |
Po Box 9980 College Station TX 77842 |
| Practice Telephone | 9728786877 |
| Practice Fax Number | 9728786878 |
| Mailing Telephone | 9728786877 |
| Mailing Fax Number | 9728786878 |
| Enumeration Date | 2011-07-29 |
| Last Update Date | 2019-04-10 |
| Authorized Official Name | MR. GARY BRYAN WOLFE (CEO) |
| Authorized Official Telephone | 9797046547 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 014496 | TX | Agencies |
| Other Name | Type Code |
|---|---|
| Traditions Health | Doing Business As Name - Organization |
| Traditions Health Care | Doing Business As Name - Organization |
| Street Address |
109 SOUTHWEST MAIN STREET, SUITE A |
| City | ENNIS |
| State | TX |
| Zip Code | 75119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174121859 | Alexandria Etuk | Pharmacist | 101 Sh-437 Spur, Ennis, TX 75119 | 2020-10-14 |
| 1285279158 | Oluchi Ozumba Md Pa | Pain Medicine | 601 S Cly St, Suite 104, Ennis, TX 75119 | 2019-11-14 |
| 1952806085 | Ikids Pediatric Dentistry Ennis, Pllc | Dentist | 711 S Clay St Ste A, Ennis, TX 75119 | 2018-03-29 |
| 1609382068 | Living Single LLC | Residential Treatment Facility, Physical Disabilities | 809 E. Denton Street, Ennis, TX 75119 | 2017-12-21 |
| 1912363300 | Erin Denise Jackson | Counselor | 219 W. Brown St, Suite A, Ennis, TX 75119 | 2016-01-14 |
| 1164769139 | Matthew Garrett Cooper | Nurse Anesthetist, Certified Registered | 2201 W. Lampasas Street, Ennis, TX 75119 | 2013-01-11 |
| 1922343805 | Braces R Us PC | Dentist | 1012 E. Ennis Ave. Ste. C, Ennis, TX 75119 | 2012-12-04 |
| 1154684355 | Stefanie Nicole Rust | Emergency Medicine | 2201 West Lampasas Street, Ennis, TX 75119 | 2012-06-21 |
| 1578792370 | Peak Physical Therapy and Rehabilitation LLC | Physical Therapist | 2200 Physicians Blvd, Ste D, Ennis, TX 75119 | 2009-07-14 |
| 1942453691 | Ronald T. Oglesby, D.d.s. | Dentist | 900 W. Ennis Ave., Suite 105, Ennis, TX 75119 | 2008-10-28 |
| Find all providers in zip 75119 | ||||
| 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 |
|---|---|---|---|---|
| 1437481892 | Beyondfaith Homecare & Rehab of Dallas, LLC | Home Health | 1905 W Ennis Ave Ste 502a, Ennis, TX 75119-3614 | 2010-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487255394 | Flor De La Fe Home Health LLC | Home Health | 4804 Beaver Pond Dr, Brownsville, TX 78520-9225 | 2020-11-06 |
| 1700487527 | Nursing Companion Healthcare Services LLC | Home Health | 20115 Stanton Lake Dr, Cypress, TX 77433-2677 | 2020-11-06 |
| 1659972818 | Senior Care of North Texas LLC | Home Health | 113 N Commerce St Ofc B, Gainesville, TX 76240-3911 | 2020-11-04 |
| 1174124283 | Natasha Monique Miller | Home Health | 2503 Via Venicia Apt 3223, Fort Worth, TX 76109-6535 | 2020-11-04 |
| 1093316499 | Gold Standard Therapy, Pllc | Home Health | 102 Salinas Cv, Austin, TX 78738-1781 | 2020-11-03 |
| 1114528569 | Cedar Care LLC. | Home Health | 10906 Giffnock Dr, Richmond, TX 77407-1553 | 2020-11-03 |
| 1326648122 | Airmid Wellness Inc | Home Health | 9931 Chimney Swift Ln, Conroe, TX 77385-3838 | 2020-10-29 |
| 1003416009 | Healthwork Global Inc | Home Health | 9522 Matilda Creek Ct, Richmond, TX 77407-2519 | 2020-10-28 |
| 1982204327 | Kevin D Miller | Home Health | 4429 Sahara Pl, Fort Worth, TX 76115-3653 | 2020-10-26 |
| 1265032692 | Bless It Hands Residential Care LLC. | Home Health | 2122 Monteleon St, Grand Prairie, TX 75051-4169 | 2020-10-26 |
| Find all providers with the same taxonomy | ||||
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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.