Active NPI
Tydesheaia Ladejenee Pool
- Home Health Aide
- Wylie, TX
National Provider Identifier
1023664778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 1300 Cedar Branch Dr
Wylie, TX 75098-6678 - Phone
- (601) 810-4101
- NPI assigned
- Aug 16, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | Primary |
Addresses
Primary practice location
1300 Cedar Branch Dr
Wylie, TX 75098-6678
Mailing address
2996 Westvista Cir Apt 2996
Fort Worth, TX 76133-5792
Phone (601) 810-4101
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Bigheartcompanion8@gmail.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unconditional Love Home Care | Current | Accepting new patients | |
| Big Heart Companion LLC | Home Health Aide | Current | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- In Home Supportive Care Agency
- Magnolia, MS
- NPI 1063090157
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573084800000",
"number": "1023664778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2996 WESTVISTA CIR APT 2996",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761335792",
"telephone_number": "601-810-4101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 CEDAR BRANCH DR",
"city": "WYLIE",
"state": "TX",
"postal_code": "750986678",
"telephone_number": "601-810-4101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POOL",
"first_name": "TYDESHEAIA",
"middle_name": "LADEJENEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-16",
"last_updated": "2019-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Bigheartcompanion8@gmail.com",
"affiliation": "N",
"endpointDescription": "Business email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2996 Westvista Cir",
"city": "Fort Worth",
"state": "TX",
"country_code": "US",
"postal_code": "761335792",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Wylie, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.