# SOUTH PLAINS COMMUNITY ACTION ASSOCIATION, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Community Action Home Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942366695
- **Authorized official:** LISA J MADDOX RN (ADMINISTRATOR)
- **Authorized official phone:** (806) 620-9857

## Contact information

- **Practice address:** 410 HOUSTON ST, LEVELLAND, TX 79336
- **Practice address phone:** (806) 894-7872
- **Practice address fax:** (806) 894-1621
- **Mailing address:** PO BOX 610, LEVELLAND, TX 79336-0610
- **Mailing address phone:** (806) 894-6104
- **Mailing address fax:** (806) 894-1621

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251C00000X | Developmentally Disabled Services Day Training Agency | — | NULL | — |
| 251E00000X | Home Health Agency | 006657 | TX | Yes |
| 3747P1801X | Personal Care Attendant | — | NULL | — |
| 3747P1801X | Personal Care Attendant | — | — | — |

## Other

- **Enumeration date:** 12/28/2006
- **Last updated:** 01/31/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 000021100 | — | TX |