NPIMap

Organization Active NPI

Texas Faith LLC

Doing business as HomeKure Doctors of America

  • General Practice Physician
  • Arlington, TX
National Provider Identifier
1174191902
Registry record updated Jun 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
TEXAS FAITH LLC
Doing business as
HomeKure Doctors of America
Practice address
1015 Gibbins Rd Ste a
Arlington, TX 76011-5615
Phone
(972) 734-5400
Fax
(972) 734-5433
NPI assigned
Jun 17, 2021
Last updated
Jun 17, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2021

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

Authorized official

Name
Kathiravan Manthiram
Title
Ceo
Phone
(972) 734-5400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X Primary

Addresses

Primary practice location

1015 Gibbins Rd Ste a
Arlington, TX 76011-5615

Mailing address

1015 Gibbins Rd Ste a
Arlington, TX 76011-5615
Phone (972) 734-5400

Other names 1

  • HomeKure Doctors of America Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210729002267 TX Part B Supplier - Clinic/Group Practice 9032512900 Receives reassigned benefits from 12 practitioners
Practice locations: Arlington, TX

National Provider Directory

National Provider Directory

Locations

1015 Gibbins Rd
Ste A
Arlington, TX 76011
Phone (972) 734-5400

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1623888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623888000000",
    "number": "1174191902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 GIBBINS RD STE A",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760115615",
            "telephone_number": "972-734-5400",
            "fax_number": "972-734-5433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 GIBBINS RD STE A",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760115615",
            "telephone_number": "972-734-5400",
            "fax_number": "972-734-5433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS FAITH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-17",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A",
        "authorized_official_last_name": "MANTHIRAM",
        "authorized_official_first_name": "KATHIRAVAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "972-734-5400"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HomeKure Doctors of America",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 17, 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.