Provider Demographics
NPI:1780676072
Name:SEARS METHODIST CENTERS INC
Entity Type:Organization
Organization Name:SEARS METHODIST CENTERS INC
Other - Org Name:SEARS HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:
Authorized Official - Last Name:HARDING
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
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:79606-8244
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:79606-8244
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:2005-08-22
Last Update Date:2011-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX00611251E00000X
251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX001012600Medicaid
TX458449Medicare Oscar/Certification
TX001012600Medicaid