Organization Active NPI

Atr Home Care Agency LLC

  • In Home Supportive Care Agency
  • Desoto, TX
National Provider Identifier
1063327807
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
ATR HOME CARE AGENCY LLC
Practice address
107 S Crestwood Blvd
Desoto, TX 75115-5907
Phone
(496) 231-5512
NPI assigned
Aug 17, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Authorized official

Name
Wilson Traylor
Title
Owner
Phone
(496) 231-5512

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

107 S Crestwood Blvd
Desoto, TX 75115-5907

Mailing address

211 Executive Way
Desoto, TX 75115-2336
Phone (496) 231-5512

National Provider Directory

National Provider Directory

Locations

211 Executive Way
Desoto, TX 75115

NPI Registry JSON

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

{
    "created_epoch": "1786924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786924800000",
    "number": "1063327807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 EXECUTIVE WAY",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152336",
            "telephone_number": "496-231-5512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 S CRESTWOOD BLVD",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751155907",
            "telephone_number": "496-231-5512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATR HOME CARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-17",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A",
        "authorized_official_last_name": "TRAYLOR",
        "authorized_official_first_name": "WILSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "496-231-5512"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Desoto, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; 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.