Organization Active NPI

Home Based Care and Counseling Programe Inc.

  • Clinical Medical Laboratory
  • Bedford, TX
National Provider Identifier
1003061375
Registry record updated Nov 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
45D1087265 Issued in TX
Legal business name
HOME BASED CARE AND COUNSELING PROGRAME INC.
Practice address
1220 Airport Fwy # 490
Bedford, TX 76022-6785
Phone
(817) 500-3706
Fax
(817) 685-7749
NPI assigned
Nov 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Godfrey Kanyankole Mugisha, C,M,A.
Title
President
Phone
(817) 500-3706

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 45D1087265 TX Primary

Addresses

Primary practice location

1220 Airport Fwy # 490
Bedford, TX 76022-6785

Mailing address

1220 Airport Fwy # 490
Bedford, TX 76022-6785
Phone (817) 500-3706

Other identifiers 1

IdentifierTypeStateIssuer
45D1087265OtherTXCLIA ID NUMBER.

National Provider Directory

National Provider Directory

Locations

1220 Airport Fwy
#490
Bedford, TX 76022
Phone (817) 500-3706

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1227916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227916800000",
    "number": "1003061375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 AIRPORT FWY # 490",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760226785",
            "telephone_number": "817-500-3706",
            "fax_number": "817-685-7749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 AIRPORT FWY # 490",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760226785",
            "telephone_number": "817-500-3706",
            "fax_number": "817-685-7749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME BASED CARE AND COUNSELING PROGRAME INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-29",
        "last_updated": "2008-11-29",
        "status": "A",
        "authorized_official_last_name": "MUGISHA",
        "authorized_official_first_name": "GODFREY",
        "authorized_official_middle_name": "KANYANKOLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-500-3706",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C,M,A."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TX",
            "license": "45D1087265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA ID NUMBER.",
            "identifier": "45D1087265",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.