BUCKSKIN903 (NPI# 1457886509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457886509 |
| Entity Type | Organization |
| Organization Name | BUCKSKIN903 |
| Other Organization Name | HOME INSTEAD SENIOR CARE |
| Practice Address |
705 S Vine Ave Tyler TX 75701-1434 |
| Mailing Address |
5380 Old Bullard Rd Tyler TX 75703-3607 |
| Practice Telephone | 9033306701 |
| Mailing Telephone | 9033306701 |
| Enumeration Date | 2017-04-26 |
| Last Update Date | 2017-04-26 |
| Authorized Official Name | TRAVIS TRANT (MANAGER) |
| Authorized Official Telephone | 9033306701 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| Other Name | Type Code |
|---|---|
| Home Instead Senior Care | Doing Business As Name - Organization |
| Street Address |
705 S VINE AVE |
| City | TYLER |
| State | TX |
| Zip Code | 75701-1434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225563323 | Travis Trant | Adult Companion | 705 S Vine Ave, Tyler, TX 75701-1434 | 2017-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962057059 | Gonzalo Fernandez | Physical Therapy Assistant | 753 S Beckham Ave, Tyler, TX 75701 | 2019-08-06 |
| 1215422654 | Adrianna Bussell | Nurse Practitioner | 1000 South Beckham, Tyler, TX 75701 | 2018-06-28 |
| 1285128017 | Idowu Akintokunbo Akinyele | Dentist | Aspen Dental, 4164 S Broadway Ave, Tyler, TX 75701 | 2018-06-15 |
| 1992208912 | Heather Renee Vancleave | Occupational Therapy Assistant | 1228 Louann Lane, Tyler, TX 75701 | 2018-03-15 |
| 1497260533 | Smile Workshop Mckinney, Pllc | Dentist | 301 N. Custer Rd, Mckinney, TX 75701 | 2017-12-12 |
| 1396266441 | Eye Surgery Center of East Texas, Pllc | Clinic/Center | 2448 E 5th St, Tyler, TX 75701 | 2017-06-29 |
| 1962936369 | Collins Complete Family Care | Nurse Practitioner | 1910 E Se Loop 323 # 176, Tyler, TX 75701 | 2017-04-12 |
| 1386187052 | Fellowship Health Team LLC | Home Health | 1124 S Fleishel Ave, Tyler, TX 75701 | 2016-11-29 |
| 1205382454 | Brenton Robinson | Nurse Practitioner | 1100 East Lake St, 160, Tyler, TX 75701 | 2016-08-28 |
| 1851846208 | Care First Pharmacy, LLC | Pharmacy | 1910 Roseland Blvd A, Tyler, TX 75701 | 2016-08-15 |
| Find all providers in zip 75701 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902271323 | 1 Harmonica Home Care LLC | In Home Supportive Care | 2122 Melrose Ave, Tyler, TX 75701-4637 | 2015-12-10 |
| 1487062220 | Hamptons Plus Care | In Home Supportive Care | 4200 Old Omen Rd, #2202, Tyler, TX 75707-2152 | 2014-07-24 |
| 1366714701 | Sj Homecare, Inc. | In Home Supportive Care | 1324 S Beckham Ave Ste 250, Tyler, TX 75701-3354 | 2012-02-01 |
| 1952699555 | Pacdan Inc | In Home Supportive Care | 637 Zelwood Dr, Tyler, TX 75701-7753 | 2011-07-16 |
| 1073808762 | Eddleman, LLC | In Home Supportive Care | 215 Winchester Dr, Suite 106, Tyler, TX 75701-8818 | 2011-06-10 |
| 1659603348 | Family Care Sitter Services | In Home Supportive Care | 1901 Rickety Ln, Ste 215, Tyler, TX 75703-1702 | 2010-02-04 |
| 1750523049 | Nethc | In Home Supportive Care | 420 E Fifth St., Tyler, TX 75701-9998 | 2009-04-01 |
| 1922669647 | Gl Healthcare of East Texas LLC | In Home Supportive Care | 1731 S Beckham Ave, Tyler, TX 75701-4436 | 2019-06-24 |
| 1972993640 | Candy Cares | In Home Supportive Care | 401 E Front St, Bldg 2 Suite 136, Tyler, TX 75702-8213 | 2015-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275794 | Tonya Comaneci Barnes | In Home Supportive Care | 812 Savannah Cv, Elgin, TX 78621-1253 | 2020-11-04 |
| 1487255733 | Providing Providers LLC | In Home Supportive Care | 2130 Alexandra Ct, Brownsville, TX 78521-7677 | 2020-11-03 |
| 1316548787 | Stephanie Rodgers | In Home Supportive Care | 938 Hawberry Heights Rd, Richmond, TX 77406-7223 | 2020-11-03 |
| 1518568922 | Dignified Care, LLC | In Home Supportive Care | 6418 Eckhert Rd Apt 3203, San Antonio, TX 78240-3097 | 2020-11-03 |
| 1093315913 | Pink Scrubs Home Health Agency LLC | In Home Supportive Care | 10815 Baucum Rd, Waxahachie, TX 75167-7614 | 2020-10-29 |
| 1164022034 | Saint Michael's Home Health Care LLC | In Home Supportive Care | 1132 Champlain Dr, Brownsville, TX 78526-1246 | 2020-10-29 |
| 1477153682 | Juan Miguel Torres | In Home Supportive Care | 745 E Saint Charles St Ste A, Brownsville, TX 78520-5219 | 2020-10-27 |
| 1518566322 | Omni Home Care Agency LLC | In Home Supportive Care | 8008 Splitrail Ct, Arlington, TX 76002-4488 | 2020-10-22 |
| 1558960724 | St Joseph's Adult Healthcare | In Home Supportive Care | 15801 Chase Hill Blvd Apt 705, San Antonio, TX 78256-1039 | 2020-10-20 |
| 1679172902 | Cam's Care LLC | In Home Supportive Care | 344 E Louisiana St, Mckinney, TX 75069-4334 | 2020-10-19 |
| 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.