Organization Active NPI

Dia-ZZZ-Ly Adult Care, LLC

  • Home Health Agency
  • Arlington, TX
National Provider Identifier
1033533864
Registry record updated Feb 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
DIA-ZZZ-LY ADULT CARE, LLC
Practice address
1201 N Watson Rd Ste 294
Arlington, TX 76006-6221
Phone
(682) 706-3963
Fax
(682) 706-3955
NPI assigned
Feb 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2018

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

Authorized official

Name
Mercy Nkerbu, RN
Title
Administrator
Phone
(682) 706-3963

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X TX Primary

Addresses

Primary practice location

1201 N Watson Rd Ste 294
Arlington, TX 76006-6221

Mailing address

1201 N Watson Rd Ste 294
Arlington, TX 76006-6221
Phone (682) 706-3963

Other identifiers 1

IdentifierTypeStateIssuer
3478786-01MedicaidTX

National Provider Directory

National Provider Directory

Locations

1201 N Watson Rd
Ste 294
Arlington, TX 76006
Phone (682) 706-3963

NPI Registry JSON

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

{
    "created_epoch": "1392336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519689600000",
    "number": "1033533864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 N WATSON RD STE 294",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760066221",
            "telephone_number": "682-706-3963",
            "fax_number": "682-706-3955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 N WATSON RD STE 294",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760066221",
            "telephone_number": "682-706-3963",
            "fax_number": "682-706-3955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIA-ZZZ-LY ADULT CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-14",
        "last_updated": "2018-02-27",
        "status": "A",
        "authorized_official_last_name": "NKERBU",
        "authorized_official_first_name": "MERCY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "682-706-3963",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3478786-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2018; 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.