Organization Active NPI

Prudent Choice Homecare Service Inc

  • Home Health Agency
  • Grand Prairie, TX
National Provider Identifier
1053437145
Registry record updated Jan 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PRUDENT CHOICE HOMECARE SERVICE INC
Practice address
2304 Oak LN
Suite 221
Grand Prairie, TX 75051-8812
Phone
(972) 237-1000
Fax
(972) 237-1003
NPI assigned
Mar 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2012

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

Authorized official

Name
Olawole O Soyebo
Title
Administrator
Phone
(972) 237-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2304 Oak LN
Suite 221
Grand Prairie, TX 75051-8812

Mailing address

2304 Oak Lane
Suite 221
Grand Prairie, TX 75051
Phone (972) 237-1000

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1082008Prudent Choice Homecare Service,Inc2304 Oak Lane, Suite 221, Grand Prairie, TX 75051Certificate of waiverMar 30, 2028

National Provider Directory

National Provider Directory

Locations

2304 Oak Ln
Ste 221
Grand Prairie, TX 75051
Phone (972) 237-1000

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325462400000",
    "number": "1053437145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2304 OAK LANE",
            "address_2": "SUITE 221",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "75051",
            "telephone_number": "972-237-1000",
            "fax_number": "972-237-1003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2304 OAK LN",
            "address_2": "SUITE 221",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750518812",
            "telephone_number": "972-237-1000",
            "fax_number": "972-237-1003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRUDENT CHOICE HOMECARE SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2012-01-02",
        "status": "A",
        "authorized_official_last_name": "SOYEBO",
        "authorized_official_first_name": "OLAWOLE",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "972-237-1000"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Prairie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.