Pedi Spot Home, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PEDI SPOT HOME, LLC

Practice address

1901 N Glenville Dr
Suite 800
Richardson, TX 75081-7207

Phone

(972) 238-9916

Fax

(972) 644-1840

NPI assigned

Mar 13, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Neil E. Casey

Title

Ceo-President

Phone

(214) 383-5353

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225161896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 W EXCHANGE PKWY",
            "address_2": "SUITE 100",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750137017",
            "telephone_number": "214-383-5353",
            "fax_number": "214-383-5859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 N GLENVILLE DR",
            "address_2": "SUITE 800",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750817207",
            "telephone_number": "972-238-9916",
            "fax_number": "972-644-1840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDI SPOT HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CASEY",
        "authorized_official_first_name": "NEIL",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "CEO-PRESIDENT",
        "authorized_official_telephone_number": "214-383-5353",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lynna Pedroza

• Home Health Agency in Richardson, TX
• Providers in Richardson, 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 Aug 22, 2020; 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.