PF TOTAL ADULT & BEAUTY HEALTH AGENCY (NPI# 1356731376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356731376 |
| Entity Type | Organization |
| Organization Name | PF TOTAL ADULT & BEAUTY HEALTH AGENCY |
| Practice Address |
11408 Hwy 64 W Tyler TX 75704-6928 |
| Practice Telephone | 9037475736 |
| Mailing Telephone | 9037475736 |
| Enumeration Date | 2015-01-29 |
| Last Update Date | 2015-01-29 |
| Authorized Official Name | MARQUITA EVANS (OWNER/LEAD ADMINISTRATOR) |
| Authorized Official Telephone | 9037475736 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Street Address |
11408 HWY 64 W |
| City | TYLER |
| State | TX |
| Zip Code | 75704-6928 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194325415 | Rupal R Patel | Pharmacist | 3820 Tx 64, Tyler, TX 75704 | 2020-10-27 |
| 1932757945 | Gracelyn Hernandez Kuester | Technician | 14320 Country Road 420, Tyler, TX 75704 | 2019-09-03 |
| 1033770227 | Rajamanoj Kondaveeti | Dentist | 3873 Tx-64, Tyler, TX 75704 | 2019-06-27 |
| 1063070209 | Susan Michele Whitaker | Counselor | The Beginning, 114 Jordan Plaza Blvd Suite 302, Tyler, TX 75704 | 2019-06-03 |
| 1649836768 | Tyla Sherrie' Tarrant | Licensed Vocational Nurse | 3050 Cr 427, #502, Tyler, TX 75704 | 2019-05-14 |
| 1437458874 | North Mesa Dental, PC | Dentist | 3864 Hwy 64 West, Tyler, TX 75704 | 2011-03-24 |
| 1093025751 | Zana Elliot Enterprises LLC | Nurse Practitioner | 12751 Westbrook Dr, Tyler, TX 75704 | 2010-10-15 |
| 1710036454 | Tammy Jimenez | Dietitian, Registered | 5555 W. Twin Lakes Dr., Tyler, TX 75704 | 2007-01-10 |
| 1063023935 | Shanika Lanell Grant | Licensed Vocational Nurse | 134 Patton Ln, Tyler, TX 75704-2004 | 2020-08-13 |
| 1194342410 | Shanequia Dianne Flowers | Licensed Vocational Nurse | 404 Lemay Dr, Tyler, TX 75704-2031 | 2020-07-02 |
| Find all providers in zip 75704 | ||||
| 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 |
|---|---|---|---|---|
| 1831797760 | New Creative In Home Care | Home Health | 6011 Wilshire Dr, Tyler, TX 75703-4162 | 2020-10-13 |
| 1821588906 | Gerald Langston | Home Health | 1731 S Beckham Ave, Tyler, TX 75701-4436 | 2018-05-15 |
| 1942709464 | Rose Elia | Home Health | 5130 Chadbourne St, Tyler, TX 75703-5609 | 2018-02-10 |
| 1669994471 | Lhcg Cxii, LLC | Home Health | 821 E Southeast Loop 323 Ste 560, Tyler, TX 75701-9667 | 2017-07-13 |
| 1578085635 | Civplus Care LLC | Home Health | 4200 Old Omen Rd Apt 2202, Tyler, TX 75707-2146 | 2017-07-11 |
| 1285174292 | Heaton Health Services Agency LLC | Home Health | 1820 Shiloh Rd Ste 1503, Tyler, TX 75703-2459 | 2017-02-24 |
| 1952846628 | Spero Healthcare Services | Home Health | 6003 Old Bullard Rd, 145, Tyler, TX 75703-4235 | 2017-01-04 |
| 1386187052 | Fellowship Health Team LLC | Home Health | 1124 S Fleishel Ave, Tyler, TX 75701 | 2016-11-29 |
| 1053769281 | All Kidz Kan | Home Health | 2902 E Front St, Tyler, TX 75702 | 2016-05-27 |
| 1184030652 | Vivian Schneider | Home Health | 2006 Sterling Dr, Tyler, TX 75701-5819 | 2014-07-06 |
| Find all providers in TYLER | ||||
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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.