1. Home
  2. Directory
  3. Texas
  4. Longview
  5. Home Health
  6. NPI Profile

PREMIER HOMECARE
NPI 1558564336
Home Health in Longview, TX

Active since June 07, 2007CLIA 45D1071479 · Waiver
602 E WHALEY ST, LONGVIEW, TX 75601(903) 753-2273(903) 753-2274 Get Directions Write a Review

NPPES record last updated: July 29, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Premier Homecare NPPES

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

PREMIER HOMECARE (NPI 1558564336) is a healthcare organization registered as a home health in Longview, Texas and active in the NPI registry since June 2007. The organization holds a CLIA Waiver certificate valid through July 25, 2027 and lists Tracie Jones, Administrator, as its authorized official.

NPPES Registry Identity

NPI1558564336
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameEAST TEXAS PHC, LLC
Location Address602 E WHALEY STLongview, TX 75601-6525
Mailing Address823 N 4th StLongview, TX 75601-5414 · (903) 753-2273
Phone(903) 753-2273
Fax(903) 753-2274
Organization SubpartNo
Authorized OfficialTracie JonesAdministrator · (903) 753-2273
Enumeration DateJune 7, 2007
Last NPPES UpdateJuly 29, 2024
NPPES CertifiedJuly 29, 2024
✔ NPI 1558564336 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.
602 E WHALEY ST, Longview, TX 75601
Open in Google Maps ↗

Other Names 1

Doing Business AsPremier Homecare

Other Identifiers 1

Other011536TX · Tdh License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, UnitedHealthcare.Insurance ›

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 45D1071479

East Texas Phc, LLC Premier Home Care · Longview, TX
Active · expires Jul 25, 2027
CLIA Number45D1071479
Laboratory TypeHome Health Agency
Certificate Effective DateJuly 26, 2025
Certificate Expiration DateJuly 25, 2027
Laboratory DirectorRebecca A. Hardin
Laboratory Phone(903) 753-2273
Laboratory LocationEast Texas Phc, LLC Premier Home Care602 East Whaley, Longview, TX 75601
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 East Texas Phc, LLC's NPI number?

The NPI number for East Texas Phc, LLC is 1558564336. It was assigned to this organization in the NPPES registry on June 7, 2007. The provider is doing business as Premier Homecare.

Where is East Texas Phc, LLC located?

East Texas Phc, LLC is located at 602 E Whaley St, Longview, TX 75601. The listed phone number is (903) 753-2273.

What is East Texas Phc, LLC's specialty?

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

Does East Texas Phc, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D1071479) is associated with this NPI, valid through July 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does East Texas Phc, LLC accept?

Health plans from Blue Cross and Blue Shield of Texas and UnitedHealthcare list East Texas Phc, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for East Texas Phc, LLC was last updated on July 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.