Organization Active NPI

Healthcor Integration LLC

  • Assisted Living Facility
  • Grand Prairie, TX
National Provider Identifier
1114573177
Registry record updated May 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
HEALTHCOR INTEGRATION LLC
Practice address
402 Duncan Perry Rd
Grand Prairie, TX 75050-2907
Phone
(214) 843-5403
NPI assigned
Aug 15, 2019
Organization subpart
Yes
Parent organization
HEALTHCOR CAPITAL LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 6, 2020

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

Authorized official

Name
Aqua Umoren
Title
Owner
Phone
(214) 336-3683

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

402 Duncan Perry Rd
Grand Prairie, TX 75050-2907

Mailing address

10935 Estate LN # 213
Dallas, TX 75238-2316

National Provider Directory

National Provider Directory
Part of
Healthcor Capital LLC

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1565827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588723200000",
    "number": "1114573177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10935 ESTATE LN # 213",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752382316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 DUNCAN PERRY RD",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750502907",
            "telephone_number": "214-843-5403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHCOR INTEGRATION LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEALTHCOR CAPITAL LLC",
        "enumeration_date": "2019-08-15",
        "last_updated": "2020-05-06",
        "certification_date": "2020-05-06",
        "status": "A",
        "authorized_official_last_name": "UMOREN",
        "authorized_official_first_name": "AQUA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-336-3683"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Prairie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2020; 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.