ENCHANTED HEARTS PROVIDER SERVICES LLC
NPI 1760179584
Home Health in Beaumont, TX

Active since April 21, 2023
825 BOYD ST, BEAUMONT, TX 77705(409) 527-1121 Get Directions Write a Review

NPPES record last updated: April 21, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Enchanted Hearts Provider Services Llc NPPES

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

ENCHANTED HEARTS PROVIDER SERVICES LLC (NPI 1760179584) is a healthcare organization registered as a home health in Beaumont, Texas and active in the NPI registry since April 2023. The organization lists Dorian Olevia Martin, Ceo, as its authorized official.

NPPES Registry Identity

NPI1760179584
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameENCHANTED HEARTS PROVIDER SERVICES LLC
Location Address825 BOYD STBeaumont, TX 77705-5007
Mailing Address825 Boyd StBeaumont, TX 77705-5007 · (409) 527-1121
Organization SubpartNo
Authorized OfficialDorian Olevia MartinCeo · (409) 527-1121
Enumeration DateApril 21, 2023
NPPES CertifiedApril 21, 2023
NPI 1760179584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

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.
Also ListedCase ManagementTaxonomy 251B00000X
Also ListedTechnician · Personal Care AttendantTaxonomy 3747P1801X
825 BOYD ST, Beaumont, TX 77705

Other Names 1

Doing Business AsEnchanted Hearts Provider Services Llc

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 Enchanted Hearts Provider Services LLC's NPI number?

The NPI number for Enchanted Hearts Provider Services LLC is 1760179584. It was assigned to this organization in the NPPES registry on April 21, 2023.

Where is Enchanted Hearts Provider Services LLC located?

Enchanted Hearts Provider Services LLC is located at 825 Boyd St, Beaumont, TX 77705. The listed phone number is (409) 527-1121.

What is Enchanted Hearts Provider Services LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Enchanted Hearts Provider Services LLC was last updated on April 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.