Organization Active NPI

Nelson Innovations Home Care Inc

  • Nursing Home Administrator
  • Dallas, TX
National Provider Identifier
1215736475
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Home AdministratorTaxonomy code 376G00000X
Legal business name
NELSON INNOVATIONS HOME CARE INC
Practice address
11601 Audelia Rd Apt 132
Dallas, TX 75243-5645
Phone
(682) 320-6774
NPI assigned
Mar 11, 2025
Last updated
Mar 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Authorized official

Name
Mr. Nelson Ifeanyi Enudi, BSC
Title
Administrator
Phone
(682) 320-6774

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Home AdministratorGroup: 193400000X SINGLE SPECIALTY GROUP 376G00000X Primary

Addresses

Primary practice location

11601 Audelia Rd Apt 132
Dallas, TX 75243-5645

Mailing address

11601 Audelia Rd Apt 132
Dallas, TX 75243-5645
Phone (682) 320-6774

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1741651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741651200000",
    "number": "1215736475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11601 AUDELIA RD APT 132",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752435645",
            "telephone_number": "682-320-6774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11601 AUDELIA RD APT 132",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752435645",
            "telephone_number": "682-320-6774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NELSON INNOVATIONS HOME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-11",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A",
        "authorized_official_last_name": "ENUDI",
        "authorized_official_first_name": "NELSON",
        "authorized_official_middle_name": "IFEANYI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "682-320-6774",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BSC"
    },
    "taxonomies": [
        {
            "code": "376G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nursing Home Administrator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 11, 2025; 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.