Active NPI
Medcare Pediatric Nursing, LP
- Home Health Agency
- Stafford, TX
National Provider Identifier
1063452605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 010415
- 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, LP
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 181090501 | Medicaid | TX | |
| 010415 | Other | TX | HOME & COMMUNITY SUPPORT SERVICES - LHH CATEGORY |
National Provider Directory
National Provider Directory- Tax ID family
- Medcare Pediatric Nursing
- 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.
-
- Case Management Agency
- Stafford, TX
- NPI 1295970754
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.
-
dba MedCare Sports Rehab & Recovery
- Pediatric Sports Medicine Physician
- Stafford, TX
- NPI 1023520509
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
- Medcar LLC
- Medcare ABA LLC
- Medcare Centers for Counseling and Play /Therapy
- Medcare Counseling and Play Therapy Centers, LLC
- Medcare Pediatric Group, LP (MedCare Sports Rehab & Recovery)
- Medcare Pediatric Nursing, LP
- Medcare Pediatric Rehab Center, LP
- Medcare Pediatric Rehab Center, LP (MedCare ABA Therapy)
- Medcare Pediatric Rehab Center, LP
- Medcare Pediatric Rehab Center, LP
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.