Support Care Agency Inc

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

SUPPORT CARE AGENCY INC

Practice address

3214 Creekside Dr
Sachse, TX 75048-2365

Phone

(972) 898-4483

NPI assigned

Sep 13, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Donatus Ezennia

Title

President

Phone

(972) 898-4483

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1473724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473724800000",
    "number": "1073061594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3214 CREEKSIDE DR",
            "city": "SACHSE",
            "state": "TX",
            "postal_code": "750482365",
            "telephone_number": "972-898-4483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3214 CREEKSIDE DR",
            "city": "SACHSE",
            "state": "TX",
            "postal_code": "750482365",
            "telephone_number": "972-898-4483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORT CARE AGENCY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-13",
        "last_updated": "2016-09-13",
        "status": "A",
        "authorized_official_last_name": "EZENNIA",
        "authorized_official_first_name": "DONATUS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-898-4483",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• G. Rene'E Stewart, CPM
• Kimberly Elizabeth Stokes, FNP-C
• Summit Health Urgent Care PLLC
• Sunland Medical Foundation (Trinity Regional Hospital Sachse)
• Superchargedbygrace LLC
• Supported Living Alternatives Inc.
• Supported Living Inc.
• Ken S Suso, BSC,HIS,OTO TECH
• Tahiro Home Care LLC
• Kohan Tai

• In Home Supportive Care Agency in Sachse, TX
• Providers in Sachse, TX by specialty
• In Home Supportive Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2016; 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.