PREMIER HEALTHCARE SERVICES-LAKESIDE
NPI 1508025396
Home Health in Tyler, TX

Q: What is Phcs IV, Inc.'s NPI number?

The NPI number for Phcs IV, Inc. is 1508025396. It was assigned to this organization in the NPPES registry on June 5, 2008. The provider is doing business as Premier Healthcare Services-Lakeside.

Q: What is Phcs IV, Inc.'s specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Q: When was this NPI record last updated?

The NPPES record for Phcs IV, Inc. was last updated on November 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 05, 2008CLIA 45D1094849 · Waiver

1021 E SOUTHEAST LOOP 323 STE 110B, TYLER, TX 75701(903) 526-0443(469) 374-5420 Get Directions Write a Review

NPPES record last updated: November 17, 2020. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Nov 17, 2020, Jul 21, 2017 (2 updates tracked since 2017).

On this page

About Premier Healthcare Services-lakeside NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PREMIER HEALTHCARE SERVICES-LAKESIDE (NPI 1508025396) is a healthcare organization registered as a home health in Tyler, Texas and active in the NPI registry since June 2008. The organization holds a CLIA Waiver certificate valid through July 28, 2028 and lists Patricia A Henderson, Administrator/president, as its authorized official.

NPPES Registry Identity

NPI1508025396

Entity TypeOrganization

Primary Taxonomy251E00000X

Legal Business NamePHCS IV, INC.

Location Address1021 E SOUTHEAST LOOP 323 STE 110BTyler, TX 75701-9656

Mailing Address1021 E Southeast Loop 323 Ste 110bTyler, TX 75701-9656 · (903) 526-0443 · Fax (903) 526-3482

Phone(903) 526-0443

Fax(469) 374-5420

Organization SubpartNo

Authorized OfficialPatricia A HendersonAdministrator/president · (903) 526-0443

Enumeration DateJune 5, 2008

Last NPPES UpdateNovember 17, 20202 updates tracked since enumeration

NPPES CertifiedNovember 10, 2020

✔ NPI 1508025396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies

Taxonomy Code251E00000X

Definition

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.

1021 E SOUTHEAST LOOP 323 STE 110B, Tyler, TX 75701

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Other Names 1

Doing Business AsPremier Healthcare Services-lakeside

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D1094849

Premier Healthcare Services-Lakeside · Tyler, TX

Active · expires Jul 28, 2028

CLIA Number45D1094849

Laboratory TypeHome Health Agency

Certificate Effective DateJuly 29, 2026

Certificate Expiration DateJuly 28, 2028

Laboratory DirectorPatricia A. Henderson

Laboratory Phone(903) 526-0443

Laboratory LocationPremier Healthcare Services-Lakeside1021 East Southeast Loop 323, Ste 110B, Tyler, TX 75701

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Home Health Quality Ratings CMS Care Compare

Quality ratings, patient care measures and outcomes for Premier Healthcare Services Lakeside (CMS certification number 673137), from CMS Care Compare.

Premier Healthcare Services Lakeside

Home health agency · Tyler, TX

OwnershipProprietary

CMS Certification Number673137

Medicare-Certified SinceMarch 7, 2005

Phone(903) 526-0443

Services Offered

Skilled nursing care Physical therapy Occupational therapy Speech-language pathology Medical social services Home health aide services

Discharge, Readmission & Medicare Spending

Patients discharged to the community, remaining home without unplanned hospital care

Cases too small to report

Risk-standardized rates account for differences in patient mix. Comparison labels are assigned by CMS.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phcs IV, Inc.'s NPI number?

The NPI number for Phcs IV, Inc. is 1508025396. It was assigned to this organization in the NPPES registry on June 5, 2008. The provider is doing business as Premier Healthcare Services-Lakeside.

Where is Phcs IV, Inc. located?

Phcs IV, Inc. is located at 1021 E Southeast Loop 323 Ste 110B, Tyler, TX 75701. The listed phone number is (903) 526-0443.

What is Phcs IV, Inc.'s specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Does Phcs IV, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D1094849) is associated with this NPI, valid through July 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Phcs IV, Inc. a Medicare-certified home health agency?

Yes. Premier Healthcare Services Lakeside is a Medicare-certified home health agency, certified since March 7, 2005.

When was this NPI record last updated?

The NPPES record for Phcs IV, Inc. was last updated on November 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.