Wichita Falls Texas Private Duty Corporation

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

WICHITA FALLS TEXAS PRIVATE DUTY CORPORATION

Doing business as

CarePartners

Practice address

4309 Jacksboro Highway
Suite G
Wichita Falls, TX 76302-2746

Phone

(940) 322-1677

Fax

(940) 322-8914

NPI assigned

Oct 3, 2006

Organization subpart

No

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

Authorized official

Name

Laurie Holtsford

Title

Director Business Office Support Au

Phone

(615) 465-7466

Specialties & licenses 2

Addresses

Other identifiers 5

Other names 1

• CarePartners Doing business as

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319155200000",
    "number": "1194819243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4309 JACKSBORO HIGHWAY",
            "address_2": "SUITE G",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763022746",
            "telephone_number": "940-322-1677",
            "fax_number": "940-322-8914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4309 JACKSBORO HIGHWAY",
            "address_2": "SUITE G",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763022746",
            "telephone_number": "940-322-1677",
            "fax_number": "940-322-8914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WICHITA FALLS TEXAS PRIVATE DUTY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2011-10-21",
        "status": "A",
        "authorized_official_last_name": "HOLTSFORD",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "DIRECTOR BUSINESS OFFICE SUPPORT AU",
        "authorized_official_telephone_number": "615-465-7466"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "011061",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1002234",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1001555",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "011061",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1001552",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1769135-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CarePartners",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Wichita Falls, TX
• Providers in Wichita Falls, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2011; 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.