Active NPI
My Home MD Non Profit, Inc
- Geriatric Medicine (Internal Medicine) Physician
- Cedar Hill, TX
National Provider Identifier
1053788596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- L2986
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 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 DirectoryLocations
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.
-
- Physical Therapist
- Mansfield, TX
- NPI 1194937847
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.