Organization Active NPI

Humana at Home (TLC), Inc.

  • Home Health Agency
  • Irving, TX
National Provider Identifier
1124201215
Registry record updated Oct 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
016484 Issued in TX
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, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 26, 2020

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.