Organization Active NPI

Clavic Healthcare Services

  • Home Health Agency
  • Arlington, TX
National Provider Identifier
1104125244
Registry record updated Oct 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CLAVIC HEALTHCARE SERVICES
Practice address
509 Flintwood LN
Arlington, TX 76002-4784
Phone
(817) 756-2700
Fax
(817) 756-2701
NPI assigned
Mar 15, 2011
Last updated
Oct 23, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2012

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

Authorized official

Name
Mrs. Bessie Fayomi, RN
Title
Administrator
Phone
(817) 756-2700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

509 Flintwood LN
Arlington, TX 76002-4784

Mailing address

509 Flintwood LN
Arlington, TX 76002-4784
Phone (817) 756-2700

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1300147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350950400000",
    "number": "1104125244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 FLINTWOOD LN",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760024784",
            "telephone_number": "817-756-2700",
            "fax_number": "817-756-2701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 FLINTWOOD LN",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760024784",
            "telephone_number": "817-756-2700",
            "fax_number": "817-756-2701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAVIC HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-15",
        "last_updated": "2012-10-23",
        "status": "A",
        "authorized_official_last_name": "FAYOMI",
        "authorized_official_first_name": "BESSIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "817-756-2700",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2012; 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.