Provider Demographics
NPI:1366656001
Name:BAPTIST MEMORIALS MINISTRIES
Entity Type:Organization
Organization Name:BAPTIST MEMORIALS MINISTRIES
Other - Org Name:BAPTIST HOME HEALTH AND HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:AARON
Authorized Official - Middle Name:
Authorized Official - Last Name:HARGETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:325-657-9102
Mailing Address - Street 1:902 NORTH MAIN STREET
Mailing Address - Street 2:PO BOX 5661
Mailing Address - City:SAN ANGELO
Mailing Address - State:TX
Mailing Address - Zip Code:76903
Mailing Address - Country:US
Mailing Address - Phone:325-655-7391
Mailing Address - Fax:325-653-1413
Practice Address - Street 1:902 NORTH MAIN STREET
Practice Address - Street 2:
Practice Address - City:SAN ANGELO
Practice Address - State:TX
Practice Address - Zip Code:76903
Practice Address - Country:US
Practice Address - Phone:325-655-7391
Practice Address - Fax:325-653-1413
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-10
Last Update Date:2010-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX006924251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX458102Medicare Oscar/Certification