NPIMap

Organization Active NPI

DSM Healthcare Ventures, LLC

Doing business as Tritrax Rehabilitation

  • Home Health Agency
  • Grand Prairie, TX
National Provider Identifier
1073814927
Registry record updated Jul 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
DSM HEALTHCARE VENTURES, LLC
Doing business as
Tritrax Rehabilitation
Practice address
1901 N Hwy 360 Ste 410
Grand Prairie, TX 75050-1431
Phone
(817) 652-2924
Fax
(855) 239-3636
NPI assigned
Nov 9, 2010
Organization subpart
Yes
Parent organization
DSM HEALTHCARE VENTURES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 15, 2019

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

Authorized official

Name
Ms. Lauren Vielma Cobler
Title
Administrator
Phone
(817) 652-2924

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1901 N Hwy 360 Ste 410
Grand Prairie, TX 75050-1431

Mailing address

1901 N Hwy 360 Ste 410
Grand Prairie, TX 75050-1431
Phone (972) 239-3633

Other identifiers 2

IdentifierTypeStateIssuer
168342703MedicaidTX
018505OtherTXTEXAS HEALTH AND HUMAN SERVICES COMMISSION

Other names 1

  • Tritrax Rehabilitation Doing business as

National Provider Directory

National Provider Directory
Part of
DSM Healthcare Ventures LLC

Locations

1901 N Highway
Ste 320
Grand Prairie, TX 75050

1901 N State Highway 360
Ste 410
Grand Prairie, TX 75050
Phone (817) 206-5229

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.

Practitioners & affiliated clinicians

Practitioners 7

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": "1289260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563148800000",
    "number": "1073814927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 N HWY 360 STE 410",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750501431",
            "telephone_number": "972-239-3633",
            "fax_number": "972-239-3636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 N HWY 360 STE 410",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750501431",
            "telephone_number": "817-652-2924",
            "fax_number": "855-239-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DSM HEALTHCARE VENTURES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DSM HEALTHCARE VENTURES, LLC",
        "enumeration_date": "2010-11-09",
        "last_updated": "2019-07-15",
        "status": "A",
        "authorized_official_last_name": "VIELMA COBLER",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "817-652-2924",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "168342703",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS HEALTH AND HUMAN SERVICES COMMISSION",
            "identifier": "018505",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tritrax Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tritrax Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grand Prairie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2019; 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.