Healthcare Provider Details

I. General information

NPI: 1417848748
Provider Name (Legal Business Name): TXOMNI
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2025
Last Update Date: 07/14/2025
Certification Date: 06/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

609 E LOGAN ST
CALVERT TX
77837-7906
US

IV. Provider business mailing address

PO BOX 96
CALVERT TX
77837-0096
US

V. Phone/Fax

Practice location:
  • Phone: 254-205-2771
  • Fax:
Mailing address:
  • Phone: 254-205-2771
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code385HR2050X
TaxonomyRespite Care Camp
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: SHELBY ENGLISH
Title or Position: ADMINISTRATOR
Credential: LVN
Phone: 254-205-2771