Hennacare LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

HENNACARE LLC

Practice address

1023 Northwest Hwy
Garland, TX 75041-5831

Phone

(972) 352-3800

NPI assigned

Aug 20, 2020

Last updated

Jan 12, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kelley Reed

Title

Office Manager

Phone

(972) 413-9168

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 5

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.

• Kate Nguyen, FNP-C

  • Family Nurse Practitioner
  • Garland, TX
  • NPI 1902544810
  Medicare reassignment Care Compare group NPD
• Hong Xiang, NP

  • Family Nurse Practitioner
  • Garland, TX
  • NPI 1396154431
  Medicare reassignment Care Compare group NPD
• Alina Yazmin Hernandez, APRN-FNP

  • Family Nurse Practitioner
  • Garland, TX
  • NPI 1679376727
  Medicare reassignment NPD
• Leslie Pidgeon, DO

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1255536850
  Medicare reassignment NPD
• Rongna Sun, APRN-CNP

  • Family Nurse Practitioner
  • Richardson, TX
  • NPI 1023610078
  Medicare reassignment NPD

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

{
    "created_epoch": "1597881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610409600000",
    "number": "1174135107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1023 NORTHWEST HWY",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750415831",
            "telephone_number": "972-352-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1023 NORTHWEST HWY",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750415831",
            "telephone_number": "972-352-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENNACARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-20",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "KELLEY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "972-413-9168"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy Heinzig
• Helping Hand Medical Supply LLC
• Brian Hembree, O.D.
• Henegar Dental PA (Big Smiles Family Dentistry)
• Tameka Henley, APRN, FNP
• Sampreethi Priscilla Henric, PA
• Jillian Herbert, OTR/L
• Alina Yazmin Hernandez, APRN-FNP
• Arantxa Hernandez, OT
• Aristides Emilio Hernandez

• Clinic/Center in Garland, TX
• Providers in Garland, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.