Maemi Home Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

3206636374136 Issued in TX

Legal business name

MAEMI HOME CARE LLC

Practice address

705 Chickasaw Trce
Grand Prairie, TX 75051-2916

Phone

(214) 853-1950

NPI assigned

Apr 4, 2018

Organization subpart

No

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

Authorized official

Name

Jesula Longchamp, CCMA

Title

President

Phone

(214) 853-1950

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1522800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576022400000",
    "number": "1124524483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 CHICKASAW TRCE",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750512916",
            "telephone_number": "214-853-1950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 CHICKASAW TRCE",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750512916",
            "telephone_number": "214-853-1950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1505 George Dieter Dr Ste 109-502",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799367660",
            "country_code": "US",
            "telephone_number": "915-203-3828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MAEMI HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-04",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A",
        "authorized_official_last_name": "LONGCHAMP",
        "authorized_official_first_name": "JESULA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-853-1950",
        "authorized_official_credential": "CCMA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "3206636374136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "maemihomecare.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "web",
            "address_1": "705 Chickasaw Trce",
            "city": "Grand Prairie",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750512916",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2019; 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.