ENCOMPASS HOME HEALTH OF EAST TEXAS, LLC (NPI# 1366061608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366061608 |
| Entity Type | Organization |
| Organization Name | ENCOMPASS HOME HEALTH OF EAST TEXAS, LLC |
| Other Organization Name | ENCOMPASS HEALTH HOSPICE |
| Practice Address |
100 E Ferguson St Ste 106 Tyler TX 75702-7202 |
| Mailing Address |
6688 N Central Expy Ste 1300 Dallas TX 75206-3950 |
| Practice Telephone | 9034053853 |
| Practice Fax Number | 9037050743 |
| Mailing Telephone | 2142396500 |
| Mailing Fax Number | 2142396581 |
| Enumeration Date | 2020-04-15 |
| Last Update Date | 2020-10-15 |
| Authorized Official Name | APRIL KAYE ANTHONY (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 2142396500 |
| Is Organization Subpart | Y |
| Parent Organization Name | ENCOMPASS HEALTH CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | LICENSE | 020035 | 01 |
| Other Name | Type Code |
|---|---|
| Encompass Health Hospice | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386175040 | Encompass Home Health of East Texas, LLC | Home Health | 407 E. Methvin St, Suite 300a, Longview, TX 75601-7326 | 2017-03-24 |
| 1649726464 | Encompass Home Health of East Texas, LLC | Hospice Care, Community Based | 3809 E 9th St Ste 10, Texarkana, AR 71854-5805 | 2016-08-31 |
| 1457807273 | Encompass Home Health of East Texas, LLC | Hospice Care, Community Based | 2900 Saint Michael Dr Ste 400b, Texarkana, TX 75503-5211 | 2016-08-31 |
| 1760939276 | Encompass Home Health of East Texas, LLC | Hospice Care, Community Based | 128 North Washington, Magnolia, AR 71753-2856 | 2016-09-01 |
| Street Address |
100 E FERGUSON ST STE 106 |
| City | TYLER |
| State | TX |
| Zip Code | 75702-7202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679116610 | Tiffiney Mcmakin | Nurse Practitioner | 810 E Houston St # 100, Tyler, TX 75702 | 2019-10-22 |
| 1659852507 | Krystal Gayle Lilley | Licensed Vocational Nurse | 100 E Ferguson St Ste 60a, Tyler, TX 75702 | 2018-08-28 |
| 1679029383 | Cynthia Lynn Kalawe | Physical Therapist | 100 E Ferguson, Suite 1204, Tyler, TX 75702 | 2016-09-01 |
| 1649623646 | Susan E Oxford | Social Worker | 13495 Frankston Highway, Tyler, TX 75702 | 2016-07-14 |
| 1053769281 | All Kidz Kan | Home Health | 2902 E Front St, Tyler, TX 75702 | 2016-05-27 |
| 1821415639 | Heather Mullins | Physical Therapy Assistant | 100 E. Ferguson Ste.1204, Tyler, TX 75702 | 2014-03-19 |
| 1346671336 | Dennis Keith Johnson | Dentist | 3081 Hwy. 31 East, Tyler, TX 75702 | 2013-12-02 |
| 1275882201 | Bobby Gibson | Counselor | 401 East Front Street, Ste 233, Tyler, TX 75702 | 2012-09-06 |
| 1144596792 | Tina Marie Borke | Clinical Neuropsychologist | 719 West Front St., Tyler, TX 75702 | 2012-03-28 |
| 1457629529 | James Whaley Rapp | Specialist/Technologist | 430 South Beckham Avenue, Trinity Mother Frances Sports Medicine, Tyler, TX 75702 | 2011-12-05 |
| Find all providers in zip 75702 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669897112 | Traditions Hospice of Tyler, LLC | Hospice Care, Community Based | 1820 Shiloh Rd Suite 1105, Tyler, TX 75703-2426 | 2014-02-20 |
| 1558612408 | Harbor Hospice 27, Lp | Hospice Care, Community Based | 727 E Front St, Suite 100, Tyler, TX 75702-8325 | 2012-10-01 |
| 1710252713 | Grace Hospice of East Texas, LLC. | Hospice Care, Community Based | 3324 S Keaton Ave, Tyler, TX 75701-9055 | 2012-03-09 |
| 1942586672 | Compass Hospice of East Texas LLC | Hospice Care, Community Based | 112 E Line St, Suite 100, Tyler, TX 75702-5721 | 2011-10-26 |
| 1376514299 | Heart To Heart Hospice of Tyler Ltd | Hospice Care, Community Based | 7925 S Broadway Ave, Suite 1140, Tyler, TX 75703-5227 | 2006-01-30 |
| 1639152689 | Legacy Hospice, L.L.C. | Hospice Care, Community Based | 1901 Rickety Ln Ste 103, Tyler, TX 75703-1700 | 2005-11-23 |
| 1790788958 | Hospice of East Texas | Hospice Care, Community Based | 4111 University Blvd, Tyler, TX 75701-6623 | 2005-05-23 |
| 1639555782 | Lakeside Healthcare | Hospice Care, Community Based | 1530 Ssw Loop 323, Suite 116, Tyler, TX 75701-2562 | 2015-07-30 |
| 1891119608 | Harbor Hospice of Longview Lp | Hospice Care, Community Based | 727 E Front St, Suite 100b, Tyler, TX 75702-8325 | 2014-02-13 |
| 1639593437 | Harbor Hospice of Texarkana Lp | Hospice Care, Community Based | 727 E Front St, Suite 100a, Tyler, TX 75702-8325 | 2014-02-13 |
| 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.