Organization Active NPI

Florence Health Care Services & Training Center Inc

  • Home Health Agency
  • Arlington, TX
National Provider Identifier
1215960778
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
009467 Issued in TX
Legal business name
FLORENCE HEALTH CARE SERVICES & TRAINING CENTER INC
Practice address
2308 Crest Park Dr
Arlington, TX 76006-2801
Phone
(817) 652-4409
Fax
(817) 652-4431
NPI assigned
Jul 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2021

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

Authorized official

Name
Ms. Florence Mgbedem Okolie, R.N.
Title
Director
Phone
(817) 652-4409

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 009467 TX Primary

Addresses

Primary practice location

2308 Crest Park Dr
Arlington, TX 76006-2801

Mailing address

2308 Crest Park Dr
Arlington, TX 76006-2801
Phone (817) 652-4409

Other identifiers 1

IdentifierTypeStateIssuer
009467OtherTXSTATE LICENCE #

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050729000073 TX Part A Provider - Home Health Agency 4587692777 Practice locations: Arlington, TX

Home health agency certification: CCN 677863

Legal name
FLORENCE HEALTH CARE SERVICES & TRAINING CENTER ,INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 23, 2006
Last certification
Aug 28, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jul 21, 2003 in TX
Enrollment address
2308 Crest Park Dr
Arlington, TX 76006-2801

Care Compare: Home health agency

Medicare Care Compare
Listed as
Florence Health Care Services & Training Center inCCN 677863 · All quality measures
Ownership
Proprietary
Certified
Mar 23, 2006
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1042039Florence Health Care Services & Training2308 Crest Park Dr, Arlington, TX 76006Certificate of waiverJun 16, 2027

National Provider Directory

National Provider Directory

Locations

2401 Avenue J
Arlington, TX 76006
Phone (817) 652-4409

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Florence Okolie Individual 5% Or Greater Direct Ownership Interest Jul 21, 2003
Corporate Officer Jul 21, 2003
Corporate Director Jul 29, 2005
W-2 Managing Employee Dec 16, 2004

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629244800000",
    "number": "1215960778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2308 CREST PARK DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760062801",
            "telephone_number": "817-652-4409",
            "fax_number": "817-652-4431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2308 CREST PARK DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760062801",
            "telephone_number": "817-652-4409",
            "fax_number": "817-652-4431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORENCE HEALTH CARE SERVICES & TRAINING CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A",
        "authorized_official_last_name": "OKOLIE",
        "authorized_official_first_name": "FLORENCE",
        "authorized_official_middle_name": "MGBEDEM",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "817-652-4409",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "009467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENCE #",
            "identifier": "009467",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.