Organization Active NPI

Stella C Egeonu MBR

  • Home Health Agency
  • Irving, TX
National Provider Identifier
1083929970
Registry record updated Aug 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
STELLA C EGEONU MBR
Practice address
2112 Lake Bend Dr
Irving, TX 75060-7741
Phone
(214) 566-0779
Fax
(972) 871-1227
NPI assigned
Aug 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2010

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

Authorized official

Name
Stella C Egeonu
Title
Owner/Admin
Phone
(214) 566-0779

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2112 Lake Bend Dr
Irving, TX 75060-7741

Mailing address

2112 Lake Bend Dr
Irving, TX 75060-7741
Phone (214) 566-0779

Other names 1

  • VALLEY TRAIL HOME HEALTHCARE 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": "1281916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281916800000",
    "number": "1083929970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2112 LAKE BEND DR",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750607741",
            "telephone_number": "214-566-0779",
            "fax_number": "972-871-1227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 LAKE BEND DR",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750607741",
            "telephone_number": "214-566-0779",
            "fax_number": "972-871-1227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STELLA C EGEONU MBR",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-16",
        "last_updated": "2010-08-16",
        "status": "A",
        "authorized_official_last_name": "EGEONU",
        "authorized_official_first_name": "STELLA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/ADMIN",
        "authorized_official_telephone_number": "214-566-0779"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VALLEY TRAIL HOME HEALTHCARE AGENCY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2010; 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.