CAPRICE KELLUM (NPI# 1659850253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659850253 |
| Entity Type | Individual |
| Full Name | CAPRICE KELLUM |
| Credential | RN |
| Practice Address |
201 County Road 3130 Valley Mills TX 76689-3421 |
| Mailing Address |
1902 Prosperity Trl Mc Gregor TX 76657-4076 |
| Practice Telephone | 2544128235 |
| Mailing Telephone | 2544128235 |
| Enumeration Date | 2018-08-14 |
| Last Update Date | 2019-06-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3640 W Waco Dr, Waco, TX 767105345 | 2543078607 | 2547652501 |
| Street Address |
201 COUNTY ROAD 3130 |
| City | VALLEY MILLS |
| State | TX |
| Zip Code | 76689-3421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669580742 | Bosque Valley Family Dental | Dentist | 701 Ave C, Valley Mills, TX 76689 | 2006-08-28 |
| 1912157686 | Christine S. Italiano | Counselor | 2401 South 31st Street, Mental Health Clinic, Temple, TX 76689 | 2008-09-30 |
| 1598982118 | Joe Hunter Yarbro | Dentist | 701 Ave C, Valley Mills, TX 76689 | 2007-04-18 |
| 1467570887 | Richard Franklin Hansard | Dentist | 701 Ave C, Valley Mills, TX 76689 | 2007-03-26 |
| 1962063503 | Mark Alan New Jr. | Dentist | 701 Avenue C, Valley Mills, TX 76689-0127 | 2019-06-25 |
| 1205097045 | Jason Cody New | Dentist | 701 Ave C, Valley Mills, TX 76689-0127 | 2008-06-24 |
| 1285621417 | Valley Mills Nursing and Rehabilitation Lp | Skilled Nursing Facility | 101 W. Avenue E, Valley Mills, TX 76689-0130 | 2005-10-03 |
| 1487762530 | Eagle Creek Therapy Scheduling Services | Home Health | 1648 R B Baker Ln, Valley Mills, TX 76689-2640 | 2006-08-28 |
| 1639496128 | Heartland Social Work Staffing, LLC | Case Management | 1648 R B Baker Ln, Valley Mills, TX 76689-2640 | 2010-04-23 |
| 1083706188 | Lee Thomas West | Counselor | 2935 Wolf Ln, Valley Mills, TX 76689-2839 | 2006-09-28 |
| Find all providers in zip 76689 | ||||
| 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 |
|---|---|---|---|---|
| 1487762530 | Eagle Creek Therapy Scheduling Services | Home Health | 1648 R B Baker Ln, Valley Mills, TX 76689-2640 | 2006-08-28 |
| 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 | ||||
| City | VALLEY MILLS |
| Zip Code | 76689 |
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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.