Active NPI
Lawdera Healthcare Service Inc
Doing business as Lawdera Home Health
- Home Health Agency
- Fort Worth, TX
National Provider Identifier
1063794543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 719537
- Legal business name
- LAWDERA HEALTHCARE SERVICE INC
- Doing business as
- Lawdera Home Health
- Practice address
- 9908 Lamberton Ter
Fort Worth, TX 76244-8514 - Phone
- (817) 908-5659
- Fax
- (817) 562-2544
- NPI assigned
- Sep 12, 2011
- 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
- Ms. Lawretta Njideka Ezukanma
- Title
- Director
- Phone
- (817) 908-5659
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 719537 | TX | Primary |
| Home Infusion Agency | 251F00000X | 719537 | TX | |
| Foster Care Agency | 253J00000X | 719537 | TX | |
| In Home Supportive Care Agency | 253Z00000X | 719537 | TX |
Addresses
Primary practice location
9908 Lamberton Ter
Fort Worth, TX 76244-8514
Mailing address
9908 Lamberton Ter
Fort Worth, TX 76244-8514
Phone (817) 908-5659
Other names 1
- Lawdera Home Health
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Fort Worth, TX
- NPI 1841526142
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315785600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1315785600000",
"number": "1063794543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9908 LAMBERTON TER",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "762448514",
"telephone_number": "817-908-5659",
"fax_number": "817-562-2544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9908 LAMBERTON TER",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "762448514",
"telephone_number": "817-908-5659",
"fax_number": "817-562-2544"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAWDERA HEALTHCARE SERVICE INC",
"organizational_subpart": "NO",
"enumeration_date": "2011-09-12",
"last_updated": "2011-09-12",
"status": "A",
"authorized_official_last_name": "EZUKANMA",
"authorized_official_first_name": "LAWRETTA",
"authorized_official_middle_name": "NJIDEKA",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "817-908-5659",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "TX",
"license": "719537",
"primary": true
},
{
"code": "251F00000X",
"taxonomy_group": "",
"desc": "Home Infusion",
"state": "TX",
"license": "719537",
"primary": false
},
{
"code": "253J00000X",
"taxonomy_group": "",
"desc": "Foster Care Agency",
"state": "TX",
"license": "719537",
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "TX",
"license": "719537",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Lawdera Home Health",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.