PECAN BAYOU HEALTHCARE LLC
NPI 1679184733
Home Health in Early, TX

Active since August 12, 2020CLIA 45D0693751 · Waiver
1102 EARLY BLVD, EARLY, TX 76802(325) 646-4900 Get Directions Write a Review

NPPES record last updated: May 27, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 27, 2025, Nov 5, 2020, Aug 12, 2020 (3 updates tracked since 2020).

About Pecan Bayou Healthcare Llc NPPES

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

PECAN BAYOU HEALTHCARE LLC (NPI 1679184733), doing business as Cms-kinder Hearts Home Health, is a healthcare organization registered as a home health in Early, Texas and active in the NPI registry since August 2020. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Amber Tueller, Secretary, as its authorized official.

NPPES Registry Identity

NPI1679184733
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NamePECAN BAYOU HEALTHCARE LLC
Location Address1102 EARLY BLVDEarly, TX 76802-2261
Mailing Address1102 Early BlvdEarly, TX 76802-2261 · (325) 646-4900
Organization SubpartNo
Authorized OfficialAmber TuellerSecretary · (208) 369-7608
Enumeration DateAugust 12, 2020
Last NPPES UpdateMay 27, 20253 updates tracked since enumeration
NPPES CertifiedMay 27, 2025
NPI 1679184733 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.
1102 EARLY BLVD, Early, TX 76802

Other Names 1

Doing Business AsCms-kinder Hearts Home Health

Accepted 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 45D0693751

Pecan Bayou Healthcare, LLC Dba Cms Kinder Hearts Home Health · Early, TX
Active · expires Aug 31, 2026
CLIA Number45D0693751
Laboratory TypeHome Health Agency
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorJamie Castro
Laboratory Phone(325) 649-4900
Laboratory LocationPecan Bayou Healthcare, LLC Dba Cms Kinder Hearts Home Health1102 Early Blvd, Early, TX 76802
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Home Health
1102 EARLY BLVD
EARLY, TX 76802
Ambulance
1102 EARLY BLVD
EARLY, TX 76802

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 Pecan Bayou Healthcare LLC's NPI number?

The NPI number for Pecan Bayou Healthcare LLC is 1679184733. It was assigned to this organization in the NPPES registry on August 12, 2020. The provider is doing business as CMS-Kinder Hearts Home Health.

Where is Pecan Bayou Healthcare LLC located?

Pecan Bayou Healthcare LLC is located at 1102 Early Blvd, Early, TX 76802. The listed phone number is (325) 646-4900.

What is Pecan Bayou Healthcare LLC's specialty?

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

Does Pecan Bayou Healthcare LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D0693751) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pecan Bayou Healthcare LLC accept?

Health plans from Baylor Scott and White Health Plan and UnitedHealthcare list Pecan Bayou Healthcare 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 Pecan Bayou Healthcare LLC was last updated on May 27, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.