Organization Active NPI

Theracare Home Health of North Texas, LLC

  • Home Health Agency
  • Lewisville, TX
National Provider Identifier
1194078659
Registry record updated Oct 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
013764 Issued in TX
Legal business name
THERACARE HOME HEALTH OF NORTH TEXAS, LLC
Practice address
697 S Stemmons Fwy
Lewisville, TX 75067-4567
Phone
(972) 434-9400
Fax
(972) 434-9450
NPI assigned
Oct 22, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2012

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

Authorized official

Name
Mr. Robbie Dale Neville
Title
Owner
Phone
(214) 908-6353

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 013764 TX Primary

Addresses

Primary practice location

697 S Stemmons Fwy
Lewisville, TX 75067-4567

Mailing address

697 S Stemmons Fwy
Lewisville, TX 75067-4567
Phone (972) 434-9400

Other identifiers 1

IdentifierTypeStateIssuer
67-7248OtherHOME HEALTH PTAN

National Provider Directory

National Provider Directory

Locations

520 US Highway 377
Pilot Point, TX 76258
Phone (940) 686-5540

NPI Registry JSON

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

{
    "created_epoch": "1350864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350864000000",
    "number": "1194078659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "697 S STEMMONS FWY",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750674567",
            "telephone_number": "972-434-9400",
            "fax_number": "972-434-9450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "697 S STEMMONS FWY",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750674567",
            "telephone_number": "972-434-9400",
            "fax_number": "972-434-9450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERACARE HOME HEALTH OF NORTH TEXAS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-22",
        "last_updated": "2012-10-22",
        "status": "A",
        "authorized_official_last_name": "NEVILLE",
        "authorized_official_first_name": "ROBBIE",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-908-6353",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "013764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME HEALTH PTAN",
            "identifier": "67-7248",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2012; 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.