Organization Active NPI

Raytex Home Health

  • Home Health Agency
  • Desoto, TX
National Provider Identifier
1013933498
Registry record updated Sep 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
679162 Issued in TX
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

Updated by the provider on Sep 5, 2012

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
TPI155008901MedicaidTX

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.