EPIC PEDIATRIC THERAPY (NPI# 1760891824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760891824 |
| Entity Type | Organization |
| Organization Name | EPIC PEDIATRIC THERAPY |
| Practice Address |
6155 Sienna Trl Apt 612 Beaumont TX 77708-4357 |
| Practice Telephone | 7867970382 |
| Mailing Telephone | 7867970382 |
| Enumeration Date | 2014-08-03 |
| Last Update Date | 2014-08-03 |
| Authorized Official Name | KIMBERLY GORDON (COTA) |
| Authorized Official Telephone | 7867970382 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 385HR2060X |
Respite Care Specialization: Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
212133 | TX | Respite Care Facility |
| Street Address |
6155 SIENNA TRL APT 612 |
| City | BEAUMONT |
| State | TX |
| Zip Code | 77708-4357 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629445333 | Wael Hamdan | Dentist | 6970 Firethorn, Beaumont, TX 77708 | 2015-08-28 |
| 1649658238 | Sizewise Rentals LLC | Durable Medical Equipment & Medical Supplies | 11025 Eastex Freeway, Suites D/e, Beaumont, TX 77708 | 2015-05-14 |
| 1083804520 | Roland Melvin Williams | Dentist | 7640 Eastex Frwy, Beaumont, TX 77708 | 2007-07-31 |
| 1609980523 | Golden Triangle Living Centers Inc | Intermediate Care Facility, Mentally Retarded | 5125 Mcanelly Dr, Beaumont, TX 77708 | 2006-08-18 |
| 1598879413 | Golden Triangle Living Centers Inc | Intermediate Care Facility, Mentally Retarded | 5965 Navajo Trail, Beaumont, TX 77708 | 2006-08-18 |
| 1962441980 | Mobility Scooters | Durable Medical Equipment & Medical Supplies | 10955 A Eastex Freeway, Beaumont, TX 77708 | 2006-06-05 |
| 1932347606 | National Seating & Mobility, Inc | Home Health | 10945 Eastex Fwy, Beaumont, TX 77708-0902 | 2009-02-03 |
| 1003824814 | Apria Healthcare LLC | Durable Medical Equipment & Medical Supplies | 11125 Eastex Fwy, Beaumont, TX 77708-0906 | 2006-08-04 |
| 1548279888 | Pulse Homecare, Ltd. | Home Health | 10485 Eastex Fwy Ste C, Beaumont, TX 77708-1052 | 2006-08-05 |
| 1356966980 | Carol Devera Guillory | Occupational Therapist | 4535 Holst St, Beaumont, TX 77708-1531 | 2020-06-09 |
| Find all providers in zip 77708 | ||||
| Taxonomy Code | 385HR2060X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Specialization | Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
| A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental retardation and/or developmental disabilities as respite for the regular caregivers. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073136800 | Amboni Healthsource LLC | Respite Care | 23438 Amoroso St, Richmond, TX 77406-2069 | 2020-05-27 |
| 1780212803 | Mubarak LLC | Respite Care | 14227 Hawkesbury Ct, Sugar Land, TX 77498-9752 | 2020-04-01 |
| 1164078028 | True Vine Connection, LLC | Respite Care | 4914 Inverness Ave, Fort Worth, TX 76132-1608 | 2019-08-15 |
| 1750949954 | Bristers Place, Limited Liability Company | Respite Care | 22310 Tea Rose Ct, Richmond, TX 77407-2067 | 2019-06-03 |
| 1902368111 | Sugarfruit Properties, LLC | Respite Care | 11980 Overbrook Ln Apt 907, Houston, TX 77077-6662 | 2019-04-05 |
| 1720572126 | Joyful Gyvers Adult Advancement Center | Respite Care | 2920 Motley Dr Ste 100, Mesquite, TX 75150-3456 | 2018-06-19 |
| 1013401835 | At A Better Partnership Home LLC | Respite Care | 2800 Tranquility Lake Blvd Apt 6206, Pearland, TX 77584-4682 | 2018-06-15 |
| 1255820379 | Fresh Outpouring Outreach Center | Respite Care | 186 Sandpebble Dr, The Woodlands, TX 77381-3225 | 2018-05-03 |
| 1366952061 | Jlegend Health Care Center, LLC | Respite Care | 9903 S Dairy Ashford Rd Apt 4102, Houston, TX 77099-2330 | 2017-10-07 |
| 1083139786 | Ariana Home Care LLC | Respite Care | 6226 Vicki John Dr, Houston, TX 77096-5742 | 2017-08-03 |
| 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.