1609879923 NPI number — HOME CARE CONNECTIONS, INC.

Table of content: SUSAN ELAINE WEBSTER PT (NPI 1750377644)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1609879923 NPI number — HOME CARE CONNECTIONS, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HOME CARE CONNECTIONS, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1609879923
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/21/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
420 W PINHOOK RD
Provider Second Line Business Mailing Address:
SUITE A
Provider Business Mailing Address City Name:
LAFAYETTE
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
70503-2131
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
337-233-1307
Provider Business Mailing Address Fax Number:
337-233-5764

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1012 GARNER FIELD RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
UVALDE
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78801-4810
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
830-591-0770
Provider Business Practice Location Address Fax Number:
830-591-0780
Provider Enumeration Date:
05/31/2005

Additional Information

Authorized Official

Authorized Official Last Name:
NOVEMBER
Authorized Official First Name:
PETER
Authorized Official Middle Name:
C.
Authorized Official Title or Position:
EXECUTIVE VICE PRESIDENT
Authorized Official Telephone Number:
337-233-1307

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , with the licence number:  008321 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 158665301 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 679303 . This is a "CIGNA" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 679303 . This is a "TEXAS MUNICIPAL LEAGUE" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 679303 . This is a "HEALTHSMART" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 679303 . This is a "BLUE CROSS - BLUE SHIELD" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 679303 . This is a "UNITED HEALTH CARE" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 679303 . This is a "HUMANA" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




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