Provider Demographics
NPI: | 1679861793 |
---|---|
Name: | LAPP |
Entity type: | Organization |
Organization Name: | LAPP |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | LVN VP |
Authorized Official - Prefix: | MRS |
Authorized Official - First Name: | SHARRON |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | ROGERS |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | LVN |
Authorized Official - Phone: | 903-203-5854 |
Mailing Address - Street 1: | 9710 COUNTY ROAD 2426 |
Mailing Address - Street 2: | |
Mailing Address - City: | TERRELL |
Mailing Address - State: | TX |
Mailing Address - Zip Code: | 75160-8825 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 903-203-5854 |
Mailing Address - Fax: | 972-767-0939 |
Practice Address - Street 1: | 2447 E STONE RD |
Practice Address - Street 2: | |
Practice Address - City: | WYLIE |
Practice Address - State: | TX |
Practice Address - Zip Code: | 75098-5709 |
Practice Address - Country: | US |
Practice Address - Phone: | 903-203-5854 |
Practice Address - Fax: | 972-767-0939 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2011-07-11 |
Last Update Date: | 2011-07-11 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
TX | 2278H0200X, 2278P3800X, 2278S1500X, 2279H0200X, 251E00000X, 251F00000X, 251G00000X, 261QR0401X, 261QR1100X, 261QR1300X, 310400000X, 315D00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 251E00000X | Agencies | Home Health | ||
No | 2278H0200X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Certified | Home Health | Group - Single Specialty |
No | 2278P3800X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Certified | Palliative/Hospice | Group - Single Specialty |
No | 2278S1500X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Certified | SNF/Subacute Care | Group - Single Specialty |
No | 2279H0200X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Registered | Home Health | Group - Single Specialty |
No | 251F00000X | Agencies | Home Infusion | ||
No | 251G00000X | Agencies | Hospice Care, Community Based | ||
No | 261QR0401X | Ambulatory Health Care Facilities | Clinic/Center | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | |
No | 261QR1100X | Ambulatory Health Care Facilities | Clinic/Center | Research | |
No | 261QR1300X | Ambulatory Health Care Facilities | Clinic/Center | Rural Health | |
No | 310400000X | Nursing & Custodial Care Facilities | Assisted Living Facility | ||
No | 315D00000X | Nursing & Custodial Care Facilities | Hospice, Inpatient |