Organization
ADVANCED PEDIATRIC CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANE SHAFFER BASS X M.S. (PRESIDENT)
(409) 832-3304
Entity
Organization
Contact information
Practice address
3330 FANNIN ST, BEAUMONT, TX 77701-3801
(409) 832-3304
(409) 835-2799
Mailing address
3330 FANNIN ST, BEAUMONT, TX 77701-3801
(409) 832-3304
(409) 835-2799
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
007953
TX
253Z00000X
In Home Supportive Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001004272
—
TX
05
—
162591501
—
TX
01
—
HH307H
BCBS PROVIDER NUMBER
TX
Enumeration date
05/25/2006
Last updated
10/15/2025
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