Organization Active NPI

My Home MD Non Profit, Inc

  • Geriatric Medicine (Internal Medicine) Physician
  • Cedar Hill, TX
National Provider Identifier
1053788596
Registry record updated Sep 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
L2986 Issued in TX
Legal business name
MY HOME MD NON PROFIT, INC
Practice address
630 N Highway 67 Ste 2
Cedar Hill, TX 75104-2156
Phone
(214) 339-2221
Fax
(214) 432-1117
NPI assigned
Sep 1, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2015

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

Authorized official

Name
Leigh Ann Tipping
Title
Ceo/Secretary
Phone
(682) 472-0161

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0300X L2986 TX Primary

Addresses

Primary practice location

630 N Highway 67 Ste 2
Cedar Hill, TX 75104-2156

Mailing address

105 E Oak St Ste 103
Mansfield, TX 76063-7713
Phone (682) 472-0161

National Provider Directory

National Provider Directory

Locations

101 W Dallas St
Mansfield, TX 76063
Phone (214) 339-2221

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1441065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441152000000",
    "number": "1053788596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 E OAK ST STE 103",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760637713",
            "telephone_number": "682-472-0161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 N HIGHWAY 67 STE 2",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751042156",
            "telephone_number": "214-339-2221",
            "fax_number": "214-432-1117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY HOME MD NON PROFIT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-01",
        "last_updated": "2015-09-02",
        "status": "A",
        "authorized_official_last_name": "TIPPING",
        "authorized_official_first_name": "LEIGH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CEO/SECRETARY",
        "authorized_official_telephone_number": "682-472-0161"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "TX",
            "license": "L2986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Hill, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2015; 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.