Organization Active NPI

Mercedes in Home Care Agency, L.L.C

  • Home Health Agency
  • Dallas, TX
National Provider Identifier
1083173553
Registry record updated Mar 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MERCEDES IN HOME CARE AGENCY, L.L.C
Practice address
404 Florencia PLZ
Dallas, TX 75211-7692
Phone
(972) 366-6066
Fax
(833) 693-0003
NPI assigned
Mar 14, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2019

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

Authorized official

Name
Mrs. Mercedes McQueen, MSBA
Title
Director
Phone
(972) 366-6066

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Community Based Hospice Care Agency 251G00000X
Nursing Care Agency 251J00000X
In Home Supportive Care Agency 253Z00000X
Respite Care 385H00000X

Addresses

Primary practice location

404 Florencia PLZ
Dallas, TX 75211-7692

Mailing address

404 Florencia PLZ
Dallas, TX 75211-7692
Phone (972) 366-6066

Other identifiers 2

IdentifierTypeStateIssuer
457898OtherCERTIFY HOME HEATH, PRIMARY HOME CARE AGENCY
457524OtherTXCERTIFY HOME HEALTH AGENCY

Other names 1

  • Mercedes In Home Care Agency Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1552521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552521600000",
    "number": "1083173553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 FLORENCIA PLZ",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752117692",
            "telephone_number": "972-366-6066",
            "fax_number": "833-693-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 FLORENCIA PLZ",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752117692",
            "telephone_number": "972-366-6066",
            "fax_number": "833-693-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCEDES IN HOME CARE AGENCY, L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-14",
        "last_updated": "2019-03-14",
        "status": "A",
        "authorized_official_last_name": "MCQUEEN",
        "authorized_official_first_name": "MERCEDES",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "972-366-6066",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSBA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFY HOME HEATH, PRIMARY HOME CARE AGENCY",
            "identifier": "457898",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFY HOME HEALTH AGENCY",
            "identifier": "457524",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercedes In Home Care Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.