Organization Active NPI

Medcare Pediatric Nursing, LP

  • Home Health Agency
  • Stafford, TX
National Provider Identifier
1063452605
Registry record updated May 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
010415 Issued in TX
Legal business name
MEDCARE PEDIATRIC NURSING, LP
Practice address
12371 S Kirkwood Rd
Stafford, TX 77477-2836
Phone
(713) 995-9292
Fax
(713) 995-4402
NPI assigned
Jun 8, 2006
Organization subpart
Yes
Parent organization
MEDCARE PEDIATRIC GROUP, LPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 29, 2008

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

Authorized official

Name
Mrs. Paige Kinkade
Title
Ceo - Administrator
Phone
(713) 995-9292

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 010415 TX Primary
Home Infusion Agency 251F00000X 010415 TX
Nursing Care Agency 251J00000X 010415 TX

Addresses

Primary practice location

12371 S Kirkwood Rd
Stafford, TX 77477-2836

Mailing address

12371 S Kirkwood Rd
Stafford, TX 77477-2836
Phone (713) 995-9292

Other identifiers 2

IdentifierTypeStateIssuer
181090501MedicaidTX
010415OtherTXHOME & COMMUNITY SUPPORT SERVICES - LHH CATEGORY

National Provider Directory

National Provider Directory
Tax ID family
Medcare Pediatric Nursing2 organizations share this tax ID, including this one
Part of
Medcare Pediatric Group LP

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212019200000",
    "number": "1063452605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12371 S KIRKWOOD RD",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774772836",
            "telephone_number": "713-995-9292",
            "fax_number": "713-995-4402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12371 S KIRKWOOD RD",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774772836",
            "telephone_number": "713-995-9292",
            "fax_number": "713-995-4402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDCARE PEDIATRIC NURSING, LP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDCARE PEDIATRIC GROUP, LP",
        "enumeration_date": "2006-06-08",
        "last_updated": "2008-05-29",
        "status": "A",
        "authorized_official_last_name": "KINKADE",
        "authorized_official_first_name": "PAIGE",
        "authorized_official_title_or_position": "CEO - ADMINISTRATOR",
        "authorized_official_telephone_number": "713-995-9292",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "010415",
            "primary": true
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "TX",
            "license": "010415",
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "TX",
            "license": "010415",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "181090501",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME & COMMUNITY SUPPORT SERVICES - LHH CATEGORY",
            "identifier": "010415",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stafford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; 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.