Active NPI
Raytex Home Health
- Home Health Agency
- Desoto, TX
National Provider Identifier
1013933498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 679162
- Legal business name
- RAYTEX HOME HEALTH
- Practice address
- 208 Dalton Dr
Ste. 101
Desoto, TX 75115-4414 - Phone
- (972) 230-0030
- Fax
- (972) 230-6270
- NPI assigned
- Jul 15, 2006
- 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
- Mrs. Cynthia Raeann Boyd
- Title
- Adm
- Phone
- (972) 230-0030
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 679162 | TX | Primary |
Addresses
Primary practice location
208 Dalton Dr
Ste. 101
Desoto, TX 75115-4414
Mailing address
208 Dalton Dr
Ste. 101
Desoto, TX 75115-4414
Phone (972) 230-0030
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TPI155008901 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
208 Dalton Dr
#101
Desoto, TX 75115
Phone (972) 230-0030
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152921600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1346803200000",
"number": "1013933498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 DALTON DR",
"address_2": "STE. 101",
"city": "DESOTO",
"state": "TX",
"postal_code": "751154414",
"telephone_number": "972-230-0030",
"fax_number": "972-230-6270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 DALTON DR",
"address_2": "STE. 101",
"city": "DESOTO",
"state": "TX",
"postal_code": "751154414",
"telephone_number": "972-230-0030",
"fax_number": "972-230-6270"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RAYTEX HOME HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-15",
"last_updated": "2012-09-05",
"status": "A",
"authorized_official_last_name": "BOYD",
"authorized_official_first_name": "CYNTHIA",
"authorized_official_middle_name": "RAEANN",
"authorized_official_title_or_position": "ADM",
"authorized_official_telephone_number": "972-230-0030",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "TX",
"license": "679162",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "TPI155008901",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Desoto, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.