NPIMap

Organization Active NPI

99999999

  • Home Health Agency
  • Arlington, TX
National Provider Identifier
1124302658
Registry record updated Oct 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
2014064 Issued in TX
Legal business name
99999999
Practice address
5203 Wild Horse CT
Arlington, TX 76017-2074
Phone
(817) 793-0172
NPI assigned
Oct 3, 2011
Last updated
Oct 3, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2011

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

Authorized official

Name
Mr. Gary Wayne Patterson, LPTA
Title
Pta
Phone
(817) 793-0172

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 2014064 TX Primary

Addresses

Primary practice location

5203 Wild Horse CT
Arlington, TX 76017-2074

Mailing address

5203 Wild Horse CT
Arlington, TX 76017-2074
Phone (817) 793-0172

National Provider Directory

National Provider Directory
Tax ID family
Unity Home Health Agency4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1317600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317600000000",
    "number": "1124302658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5203 WILD HORSE CT",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760172074",
            "telephone_number": "817-793-0172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5203 WILD HORSE CT",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760172074",
            "telephone_number": "817-793-0172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "99999999",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-03",
        "last_updated": "2011-10-03",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PTA",
        "authorized_official_telephone_number": "817-793-0172",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPTA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "2014064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2011; 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.