Provider Demographics
NPI:1376527838
Name:SEARS METHODIST CENTER INC
Entity Type:Organization
Organization Name:SEARS METHODIST CENTER INC
Other - Org Name:SEARS METHODIST HOSPICE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF HOME HEALTH/HOSPICE
Authorized Official - Prefix:
Authorized Official - First Name:SHEILA
Authorized Official - Middle Name:
Authorized Official - Last Name:GRIFFITH
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:325-692-4500
Mailing Address - Street 1:ONE VILLAGE DRIVE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79606-0000
Mailing Address - Country:US
Mailing Address - Phone:325-692-4500
Mailing Address - Fax:325-692-4585
Practice Address - Street 1:ONE VILLAGE DRIVE
Practice Address - Street 2:SUITE 300
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79606-0000
Practice Address - Country:US
Practice Address - Phone:325-692-4500
Practice Address - Fax:325-692-4585
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-30
Last Update Date:2010-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX008683251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX451751Medicare ID - Type UnspecifiedMEDICARE