Spirit Healthcare Management, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

003436 Issued in TX

Legal business name

SPIRIT HEALTHCARE MANAGEMENT, LLC

Doing business as

Spirit Homecare

Practice address

1636 N Hampton Rd
108
Desoto, TX 75115-8621

Phone

(972) 296-5959

Fax

(972) 709-5152

NPI assigned

Mar 9, 2006

Organization subpart

No

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

Authorized official

Name

Tina Shelly Otto

Title

Administrator

Phone

(972) 296-5959

Specialties & licenses 1

Addresses

Other names 1

• SPIRIT HOMECARE Doing business as

Locations

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413936000000",
    "number": "1093783854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1636 N HAMPTON RD",
            "address_2": "108",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751158621",
            "telephone_number": "972-296-5959",
            "fax_number": "972-709-5152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1636 N HAMPTON RD",
            "address_2": "108",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751158621",
            "telephone_number": "972-296-5959",
            "fax_number": "972-709-5152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPIRIT HEALTHCARE MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-09",
        "last_updated": "2014-10-22",
        "status": "A",
        "authorized_official_last_name": "OTTO",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "SHELLY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "972-296-5959"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "003436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SPIRIT HOMECARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Desoto, TX
• Providers in Desoto, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2014; 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.