Active NPI
Sacred Health Care
- In Home Supportive Care Agency
- Rockwall, TX
National Provider Identifier
1033775200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- SACRED HEALTH CARE
- Practice address
- 3123 Fontana Blvd
Rockwall, TX 75032-4400 - Phone
- (469) 298-9892
- NPI assigned
- May 14, 2019
- 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
- Ify Okwuchi
- Title
- Owner
- Phone
- (806) 283-0352
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| Nursing Care Agency | 251J00000X | |||
| In Home Supportive Care Agency | 253Z00000X | Primary | ||
| Private Vehicle | 347C00000X |
Addresses
Primary practice location
3123 Fontana Blvd
Rockwall, TX 75032-4400
Mailing address
3123 Fontana Blvd
Rockwall, TX 75032-4400
Phone (469) 298-9892
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Fort Leonard Wood, MO
- NPI 1437514098
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557792000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1558310400000",
"number": "1033775200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3123 FONTANA BLVD",
"city": "ROCKWALL",
"state": "TX",
"postal_code": "750324400",
"telephone_number": "469-298-9892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3123 FONTANA BLVD",
"city": "ROCKWALL",
"state": "TX",
"postal_code": "750324400",
"telephone_number": "469-298-9892"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SACRED HEALTH CARE",
"organizational_subpart": "NO",
"enumeration_date": "2019-05-14",
"last_updated": "2019-05-20",
"status": "A",
"authorized_official_last_name": "OKWUCHI",
"authorized_official_first_name": "IFY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "806-283-0352"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockwall, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.