MYSTIC ROSE HOME HEALTH CARE LLC
NPI 1396027397
Home Health in Corsicana, TX

Active since September 15, 2011
508 N MAIN ST STE C, CORSICANA, TX 75110(903) 874-4325(903) 874-9140 Get Directions Write a Review

NPPES record last updated: October 12, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Home Health

About MYSTIC ROSE HOME HEALTH CARE LLC

This page provides the complete NPI Profile along with additional information for Mystic Rose Home Health Care Llc, a provider established in Corsicana, Texas operating as a Home Health. The healthcare provider is registered in the NPI registry with number 1396027397 assigned on September 2011. The practitioner's primary taxonomy code is 251E00000X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Lanettia Littleton (Ceo)

NPI
1396027397 Verify this NPI
Provider Name
MYSTIC ROSE HOME HEALTH CARE LLC
Entity Type
Organization
Location Address
508 N MAIN ST STE C CORSICANA, TX 75110
Location Phone
(903) 874-4325
Location Fax
(903) 874-9140
Mailing Address
508 N MAIN ST STE C CORSICANA, TX 75110
Mailing Phone
(903) 874-4325
Mailing Fax
(903) 874-9140
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
09-15-2011
Last Update Date
10-12-2012
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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

LANETTIA LITTLETON

Authorized Official Title
CEO
Authorized Official Phone
(903) 874-4325

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396027397, enumerated as an "organization" on September 15, 2011.

The provider is located at 508 N MAIN ST STE C CORSICANA, TX 75110 and the phone number is (903) 874-4325.

Home Health with taxonomy code 251E00000X.