INTREPID OF HOUSTON TEXAS, INC. (NPI# 1871103440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871103440 |
| Entity Type | Organization |
| Organization Name | INTREPID OF HOUSTON TEXAS, INC. |
| Practice Address |
87 Ih 10 N Ste 101 Beaumont TX 77707-2542 |
| Mailing Address |
3220 Keller Springs Rd Ste 108 Carrollton TX 75006-5911 |
| Practice Telephone | 4696736666 |
| Practice Fax Number | 2144453994 |
| Mailing Telephone | 2144453750 |
| Mailing Fax Number | 2144453900 |
| Enumeration Date | 2020-08-07 |
| Last Update Date | 2020-08-07 |
| Authorized Official Name | PAUL M MCMULLEN (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 2144453750 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | Agencies |
| Other Name | Type Code |
|---|---|
| Intrepid USA Hospice | Doing Business As Name - Organization |
| Street Address |
87 IH 10 N STE 101 |
| City | BEAUMONT |
| State | TX |
| Zip Code | 77707-2542 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437718004 | Kelsey Marie Burt | Speech-Language Pathologist | 87 I-10, Beaumont, TX 77707 | 2019-06-07 |
| 1245898808 | Primary Care Anywhere, Pllc | Nurse Practitioner | 4347 Phelan, Suite 101, Beaumont, TX 77707 | 2019-05-30 |
| 1598321663 | Kacy Keitha Priddy | Occupational Therapist | 1846 I-10 S, Suite 102, Beaumont, TX 77707 | 2019-05-14 |
| 1144791963 | Jeffery Ray Manzer | Counselor | 3350 Dowlen Rd Suite J, Beaumont, TX 77707 | 2018-12-06 |
| 1497247217 | Haley Hebert | Speech-Language Pathologist | 87 I 10 N, Suite 225, Beaumont, TX 77707 | 2018-06-06 |
| 1548712383 | Taylor Miguez | Speech-Language Pathologist | 87 I-10 Frontage Rd #225, Beaumont, TX 77707 | 2016-10-27 |
| 1720534043 | Jacie Woodson | Speech-Language Pathologist | 87 I-10 Frontage Rd. 225, Beaumont, TX 77707 | 2016-08-28 |
| 1285187047 | Paula Boudreaux | Speech-Language Pathologist | 87 I-10 Frontage Rd, Suite 225, Beaumont, TX 77707 | 2016-07-28 |
| 1790138568 | Meagan Alyse Hartwick | Speech-Language Pathologist | 87 I-10 Frontage Rd., 225, Beaumont, TX 77707 | 2016-07-18 |
| 1376992578 | Laurie Lynette Jansky | Family Medicine | 3650 Laurel Ave, Beaumont, TX 77707 | 2016-06-08 |
| Find all providers in zip 77707 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215421706 | A & B Hospice Services LLC | Hospice Care, Community Based | 350 Pine St Ste 711, Beaumont, TX 77701-2401 | 2018-06-18 |
| 1093161085 | Burch-garrett Enterprises, Inc | Hospice Care, Community Based | 3120 Fannin St, Beaumont, TX 77701-3943 | 2016-05-09 |
| 1043693625 | Harbor Hospice of Missouri Lp | Hospice Care, Community Based | 3406 College St # 200, Beaumont, TX 77701-4612 | 2015-07-01 |
| 1710375746 | We Care Healthcare LLC | Hospice Care, Community Based | 2005 Broadway St # 110, Beaumont, TX 77701-1945 | 2014-12-29 |
| 1841606589 | Cima Hospice of Houston, LLC | Hospice Care, Community Based | 1425 Wellington Cir, Beaumont, TX 77706-3247 | 2014-07-02 |
| 1568892347 | G&v Hospice Inc. | Hospice Care, Community Based | 115 N 23rd St, Beaumont, TX 77707-2405 | 2013-11-15 |
| 1356690028 | Heart To Heart Hospice of The Gulf Coast LLC | Hospice Care, Community Based | 550 Fannin St, Suite 1200, Beaumont, TX 77701-3100 | 2012-09-10 |
| 1831495779 | Sunshine Hospice Lp | Hospice Care, Community Based | 2450 N Major Dr Ste 201, Beaumont, TX 77713-9575 | 2011-02-09 |
| 1497058457 | Envoy Hospice, LLC | Hospice Care, Community Based | 3180 College St Fl 2, Beaumont, TX 77701-4608 | 2010-12-14 |
| 1497939854 | Compassion Healthcare LLC | Hospice Care, Community Based | 2501 North St, Beaumont, TX 77702-1622 | 2007-12-20 |
| Find all providers in BEAUMONT | ||||
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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.