Active NPI
Mercedes in Home Care Agency, L.L.C
- Home Health Agency
- Dallas, TX
National Provider Identifier
1083173553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 457898 | Other | CERTIFY HOME HEATH, PRIMARY HOME CARE AGENCY | |
| 457524 | Other | TX | CERTIFY HOME HEALTH AGENCY |
Other names 1
- Mercedes In Home Care Agency
National Provider Directory
National Provider DirectoryNPI 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.