Provider Demographics
NPI:1487062220
Name:HAMPTONS PLUS CARE
Entity type:Organization
Organization Name:HAMPTONS PLUS CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:CLARKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-566-8500
Mailing Address - Street 1:1014 PRUITT PL
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75703-1160
Mailing Address - Country:US
Mailing Address - Phone:903-566-8500
Mailing Address - Fax:
Practice Address - Street 1:4200 OLD OMEN RD
Practice Address - Street 2:#2202
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75707-2152
Practice Address - Country:US
Practice Address - Phone:903-343-3352
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-24
Last Update Date:2014-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care