Encompass Premier Health Cart

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

License

313740 Issued in TX

Legal business name

ENCOMPASS PREMIER HEALTH CART

Practice address

5501 Lebeau LN
Frisco, TX 75035-5152

Phone

(972) 425-0287

Fax

(972) 425-0367

NPI assigned

Apr 13, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Jay Edward Bergman

Title

General Partner

Phone

(972) 425-0287

Specialties & licenses 1

Addresses

Other names 1

• Encompass Health Care Former legal business name

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

{
    "created_epoch": "1492041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500336000000",
    "number": "1104350479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 LEBEAU LN",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750355152",
            "telephone_number": "972-425-0287",
            "fax_number": "972-425-0367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 LEBEAU LN",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750355152",
            "telephone_number": "972-425-0287",
            "fax_number": "972-425-0367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENCOMPASS PREMIER HEALTH CART",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-13",
        "last_updated": "2017-07-18",
        "status": "A",
        "authorized_official_last_name": "BERGMAN",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "972-425-0287",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "TX",
            "license": "313740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Encompass Health Care",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2017; 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.