BLUEBONNET HOSPICE OF EAST TEXAS, INC. (NPI# 1437374493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437374493 |
| Entity Type | Organization |
| Organization Name | BLUEBONNET HOSPICE OF EAST TEXAS, INC. |
| Practice Address |
7524 S Broadway Ave Ste 113 Tyler TX 75703-5000 |
| Mailing Address |
3607 W Pioneer Pkwy Pantego TX 76013-4504 |
| Practice Telephone | 9035617751 |
| Mailing Telephone | 8172751040 |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | GEORGE FETTINGER (CEO CFO) |
| Authorized Official Telephone | 8172751040 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 374U00000X | Home Health Aide | 010273 | TX | Nursing Service Related Providers |
| Street Address |
7524 S BROADWAY AVE STE 113 |
| City | TYLER |
| State | TX |
| Zip Code | 75703-5000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174155477 | Choice Supportive Care Team Inc. | Family Medicine | 4293 Kinsey Drive, Tyler, TX 75703 | 2020-02-05 |
| 1770052532 | Refinery Chiropractic LLC | Chiropractor | 16637 Old Jacksonville Hwy, Suite D, Tyler, TX 75703 | 2018-11-21 |
| 1215419353 | Deidre Lynn Fergason | Occupational Therapy Assistant | 3505 Old Jacksonville Hwy, Tyler, TX 75703 | 2018-09-05 |
| 1710473681 | Justin Taylor Ross | Dentist | 8938 S Broadway Ave Ste 380, Tyler, TX 75703 | 2018-07-03 |
| 1457843450 | Adam Tyler Barnes, Dds of Texas II, Pllc | Dentist | 8938 South Broadway, Ste 480, Tyler, TX 75703 | 2018-06-05 |
| 1083106462 | Integrity Health | Internal Medicine | 5605 Old Bullard Rd Ste B, Tyler, TX 75703 | 2018-06-01 |
| 1427572544 | Cody Wayne Graham | Pharmacist | 5415 S. Broadway Ave., Tyler, TX 75703 | 2017-07-31 |
| 1750805941 | Roger Bryan Chapman | Nurse Practitioner | 6115 New Copeland Rd, Tyler, TX 75703 | 2017-07-28 |
| 1427570084 | Darah Lynne Dahlem | Speech-Language Pathologist | 401 E. Front Street Ste 123, Tyler, TX 75703 | 2017-07-14 |
| 1194267468 | Herman Lester Hampton Jr. | Surgery | 5803 Regents Row, Tyler, TX 75703 | 2016-11-17 |
| Find all providers in zip 75703 | ||||
| Taxonomy Code | 374U00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Home Health Aide |
| A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629383849 | Melissa Hampton | Home Health Aide | 400 F M Road 757, Tyler, TX 75705 | 2010-08-12 |
| 1356371348 | Regina Burns | Home Health Aide | 2107 Woodlawn St Ste A, Tyler, TX 75702-2850 | 2006-07-04 |
| 1235746124 | Rebekah Brazell | Home Health Aide | 9846 Hwy 31 E, Tyler, TX 75705-2329 | 2020-09-25 |
| 1477190866 | Gena Hall | Home Health Aide | 9846 Hwy 31 E, Tyler, TX 75705-2329 | 2019-12-04 |
| 1417594805 | Anquenette Simien | Home Health Aide | 9846 Hwy 31 E, Tyler, TX 75705-2329 | 2019-12-04 |
| 1407493893 | Kallina Spivey | Home Health Aide | 9846 Hwy 31 E, Tyler, TX 75705-2329 | 2019-12-04 |
| 1215572490 | Victoria Bailey | Home Health Aide | 9846 Hwy 31 E, Tyler, TX 75705-2329 | 2019-11-12 |
| 1104395789 | Kristy Keys | Home Health Aide | 9846 Hwy 31 E, Tyler, TX 75705-2329 | 2018-11-13 |
| 1891275970 | Kimbley C Burst | Home Health Aide | 9846 Hwy 31 E, Tyler, TX 75705-2329 | 2018-08-17 |
| 1326528407 | Kelly Delbert | Home Health Aide | 9846 Hwy 31 E, Tyler, TX 75705-2329 | 2018-08-17 |
| 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.