Active NPI
Humana at Home (TLC), Inc.
- Home Health Agency
- Irving, TX
National Provider Identifier
1124201215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 016484
- Legal business name
- HUMANA AT HOME (TLC), INC.
- Practice address
- 2001 W John Carpenter Fwy Ste 142
Irving, TX 75063-3255 - Phone
- (972) 422-1375
- Fax
- (972) 758-0552
- NPI assigned
- Dec 11, 2007
- Organization subpart
- Yes
- Parent organization
- ROHC, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dorothy Burns
- Title
- Director, Clinical Quality
- Phone
- (321) 258-7709
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 016484 | TX | Primary |
Addresses
Primary practice location
2001 W John Carpenter Fwy Ste 142
Irving, TX 75063-3255
Mailing address
845 3Rd Ave
7TH Floor
New York, NY 10022
Phone (212) 994-6100
Other names 1
- SeniorBridge
National Provider Directory
National Provider DirectoryLocations
2001 W John Carpenter Fwy
Ste 142
Irving, TX 75063
Phone (972) 422-1375
100 N Central Expy
Ste 600B
Richardson, TX 75080
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinic Pharmacy
- Irving, TX
- NPI 1255077293
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197331200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1603670400000",
"number": "1124201215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "845 3RD AVE",
"address_2": "7TH FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10022",
"telephone_number": "212-994-6100",
"fax_number": "972-758-0552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 W JOHN CARPENTER FWY STE 142",
"city": "IRVING",
"state": "TX",
"postal_code": "750633255",
"telephone_number": "972-422-1375",
"fax_number": "972-758-0552"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HUMANA AT HOME (TLC), INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ROHC, LLC",
"enumeration_date": "2007-12-11",
"last_updated": "2020-10-26",
"certification_date": "2020-10-26",
"status": "A",
"authorized_official_last_name": "BURNS",
"authorized_official_first_name": "DOROTHY",
"authorized_official_title_or_position": "DIRECTOR, CLINICAL QUALITY",
"authorized_official_telephone_number": "321-258-7709"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "TX",
"license": "016484",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "SeniorBridge",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Irving, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.