Organization Active NPI

Chisca Health Care Services

  • Home Health Agency
  • Mesquite, TX
National Provider Identifier
1063707503
Registry record updated Jun 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CHISCA HEALTH CARE SERVICES
Practice address
808 Buckeye Dr
Mesquite, TX 75181-1252
Phone
(214) 552-8643
NPI assigned
Jun 13, 2011
Last updated
Jun 13, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2011

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

Authorized official

Name
Ifeyinwa Agukoronye
Title
Ceo/Cfo/Alt. Administrator
Phone
(214) 552-8643

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

808 Buckeye Dr
Mesquite, TX 75181-1252

Mailing address

808 Buckeye Dr
Mesquite, TX 75181-1252

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1307923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307923200000",
    "number": "1063707503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 BUCKEYE DR",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751811252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 BUCKEYE DR",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751811252",
            "telephone_number": "214-552-8643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHISCA HEALTH CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-13",
        "last_updated": "2011-06-13",
        "status": "A",
        "authorized_official_last_name": "AGUKORONYE",
        "authorized_official_first_name": "IFEYINWA",
        "authorized_official_title_or_position": "CEO/CFO/ALT. ADMINISTRATOR",
        "authorized_official_telephone_number": "214-552-8643"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2011; 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.