Organization Active NPI

Lawdera Healthcare Service Inc

Doing business as Lawdera Home Health

  • Home Health Agency
  • Fort Worth, TX
National Provider Identifier
1063794543
Registry record updated Sep 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
719537 Issued in TX
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

Updated by the provider on Sep 12, 2011

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

Authorized official

Name
Ms. Lawretta Njideka EzukanmaNPI 1841526142
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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.