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INTERIM HEALTHCARE OF WEST TEXAS LLC NPI 1710927983


NPI Information

NPI: 1710927983
Provider Name: INTERIM HEALTHCARE OF WEST TEXAS LLC

Doing Business As: INTERIM HEALTHCARE OF WEST TEXAS LLC

Classification: Home Health - 251E00000X
Entity Type: Organization

CLIA Number: 45D0928197

Address:
3223 S LOOP 289 STE 101B
LUBBOCK, TX
ZIP 79423
Phone: (806) 971-0042
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INTERIM HEALTHCARE OF WEST TEXAS LLC is a home health in Lubbock, TX. The provider is 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. INTERIM HEALTHCARE OF WEST TEXAS LLC NPI is 1710927983. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Interim Healthcare Of West Texas Llc.

The provider's business location address is:

3223 S LOOP 289 STE 101B
LUBBOCK, TX
ZIP 79423-312
Phone: (806) 971-0042
Fax: (806) 797-6694

The provider's authorized official is Shelly Lynn Marker .
The authorized official title is President/ceo and has the following contact phone number (806) 771-0995.

The CLIA number assigned to this NPI record is 45D0928197 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/7/2006 and was last updated on 3/27/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225100000XPhysical Therapist007781TEXASNo
2225X00000XOccupational Therapist007781TEXASNo
3235Z00000XSpeech-Language PathologistNo
4251E00000XHome Health007781TEXASYes
5251J00000XNursing Care007781TEXASNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1007781OTHERTEXASSTATE OPERATOR LICENSE
2024717301MEDICAIDTEXAS
345D2145740OTHERCLIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.