HERITAGE HOSPICE OF EAST TEXAS
NPI 1720685548
Home Health in Sulphur Springs, TX

NPI Status: Active since October 05, 2020

Contact Information

1335 SHANNON RD E STE A
SULPHUR SPRINGS, TX
ZIP 75482
Phone: (888) 466-3016

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  • Organization
  • Home Health
  • CLIA Number: 45D2052446
  • CLIA Cert. Type: Hospice
  • CLIA Exp. Date: 01-09-2027

About HERITAGE HOSPICE OF EAST TEXAS

This page provides the complete NPI Profile along with additional information for Heritage Hospice Of East Texas, a provider established in Sulphur Springs, Texas operating as a Home Health. The healthcare provider is registered in the NPI registry with number 1720685548 assigned on October 2020. The practitioner's primary taxonomy code is 251E00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Heritage Hospice Of East Texas. The authorized official of this NPI record is Mr. Christopher Stayton Clemens Rn (Cco)

NPI
1720685548
Provider Legal Name
HOMEPRAC, LLC
Other Organization Name
HERITAGE HOSPICE OF EAST TEXAS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1335 SHANNON RD E STE A SULPHUR SPRINGS, TX 75482
Location Phone
(888) 466-3016
Mailing Address
4605 TEXAS BLVD TEXARKANA, TX 75503
Mailing Phone
(903) 792-0716
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-05-2020
Last Update Date
12-03-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Home Health

Taxonomy Code
251E00000X
Type
Agencies
Taxonomy Description
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. CHRISTOPHER STAYTON CLEMENS RN

Authorized Official Title
CCO
Authorized Official Phone
(903) 792-0716

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
45D2052446
Facility Type
Hospice
Certificate Effective Date
January 10, 2025
Certificate Expiration Date
January 09, 2027
Laboratory Director
BLAKE RICH
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Heritage Hospice Of East Texas to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1720685548
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27401281058
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 4 + 0 + 1 + 2 + 8 + 1 + 0 + 5 + 8 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1720685548 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720685548, enumerated in the NPI registry as an "organization" on October 05, 2020

The provider is located at 1335 Shannon Rd E Ste A Sulphur Springs, Tx 75482 and the phone number is (888) 466-3016

This medical organization specializes in Home Health with taxonomy code 251E00000X

The provider's CLIA number is 45D2052446 for a "hospice" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on October 05, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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