Organization Active NPI

Rlgdignifiedlivingofplano

  • In Home Supportive Care Agency
  • Plano, TX
National Provider Identifier
1104296318
Registry record updated Sep 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
RLGDIGNIFIEDLIVINGOFPLANO
Practice address
2816 Tallahassee CT
Plano, TX 75074-2040
Phone
(469) 786-1573
NPI assigned
Sep 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2015

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

Authorized official

Name
Ms. Linah Jokonya
Title
Manager
Phone
(469) 786-1573

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

2816 Tallahassee CT
Plano, TX 75074-2040

Mailing address

2816 Tallahassee CT
Plano, TX 75074-2040
Phone (469) 786-1573

Other identifiers 1

IdentifierTypeStateIssuer
8901MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1443571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443571200000",
    "number": "1104296318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2816 TALLAHASSEE CT",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750742040",
            "telephone_number": "469-786-1573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2816 TALLAHASSEE CT",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750742040",
            "telephone_number": "469-786-1573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RLGDIGNIFIEDLIVINGOFPLANO",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-30",
        "last_updated": "2015-09-30",
        "status": "A",
        "authorized_official_last_name": "JOKONYA",
        "authorized_official_first_name": "LINAH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "469-786-1573",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2015; 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.