Organization Active NPI

Centennial Home Health Inc

  • Home Health Agency
  • Dallas, TX
National Provider Identifier
1134317936
Registry record updated Feb 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CENTENNIAL HOME HEALTH INC
Practice address
8702 S Lancaster Rd Ste 160
Dallas, TX 75241-6319
Phone
(217) 339-2776
Fax
(214) 339-2784
NPI assigned
Oct 6, 2007
Last updated
Feb 8, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2023

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

Authorized official

Name
Mrs. Inita Michelle Griffin, RNNPI 1568830933
Title
Administrator
Phone
(214) 339-2776

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

8702 S Lancaster Rd Ste 160
Dallas, TX 75241-6319

Mailing address

8702 S Lancaster Rd Ste 160
Dallas, TX 75241-6319
Phone (217) 339-2776

Other identifiers 1

IdentifierTypeStateIssuer
021999OtherTXLICENCE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1191628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675814400000",
    "number": "1134317936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8702 S LANCASTER RD STE 160",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752416319",
            "telephone_number": "217-339-2776",
            "fax_number": "214-339-2784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8702 S LANCASTER RD STE 160",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752416319",
            "telephone_number": "217-339-2776",
            "fax_number": "214-339-2784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTENNIAL HOME HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-06",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "INITA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "214-339-2776",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCE",
            "identifier": "021999",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2023; 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.