Active NPI
Home Based Care and Counseling Programe Inc.
- Clinical Medical Laboratory
- Bedford, TX
National Provider Identifier
1003061375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 45D1087265
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 45D1087265 | Other | TX | CLIA ID NUMBER. |
National Provider Directory
National Provider DirectoryLocations
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.