Pediacare of Texas Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PEDIACARE OF TEXAS INC

Practice address

12810 Hillcrest Rd. 209 B
Dallas, TX 75230

Phone

(972) 503-5437

Fax

(972) 458-7337

NPI assigned

Jul 27, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Kundan L Sharma

Title

Owner

Phone

(972) 503-5437

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• PediaCare Home Health Agency Doing business as

Locations

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367366400000",
    "number": "1104840867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12810 HILLCREST RD 209 B",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75230",
            "telephone_number": "972-503-5437",
            "fax_number": "972-458-7337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12810 HILLCREST RD. 209 B",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75230",
            "telephone_number": "972-503-5437",
            "fax_number": "972-458-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIACARE OF TEXAS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2013-05-01",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "KUNDAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-503-5437",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "010516",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "179921501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PediaCare Home Health Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Donna Lynn Peddy, MED, LPC, LMFT
• Mark Robert Pedersen, MD
• Rebecca Pedersen, MD
• Jamie Pederson, LCSW
• Pedi-Ortho Health Corporation
• Pediapex Heart Center for Children PA
• Pediaq
• Pediaq Texas LLC
• Pediatric Acute Care Associates of N.TX, PLLC
• Pediatric Acute Care Associates of North Texas, PLLC

• Home Health Agency in Dallas, TX
• Providers in Dallas, 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 May 1, 2013; 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.