Caregivers of Faith Home Care of Dallas

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Legal business name

CAREGIVERS OF FAITH HOME CARE OF DALLAS

Practice address

124 W Pioneer Pkwy Ste 130
Arlington, TX 76010-6146

Phone

(972) 638-7935

Fax

(972) 666-0303

NPI assigned

Mar 11, 2021

Organization subpart

No

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

Authorized official

Name

Tommy KhongNPI 1548698475

Title

Owner

Phone

(817) 937-7675

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Caregivers of Faith Home Care of Dallas Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tommy Khong

  • Home Health Aide
  • Arlington, TX
  • NPI 1548698475
  NPD (past) Authorized official

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

{
    "created_epoch": "1615420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691971200000",
    "number": "1235714254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 W PIONEER PKWY STE 130",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760106146",
            "telephone_number": "972-638-7935",
            "fax_number": "972-666-0303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 W PIONEER PKWY STE 130",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760106146",
            "telephone_number": "972-638-7935",
            "fax_number": "972-666-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREGIVERS OF FAITH HOME CARE OF DALLAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-11",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A",
        "authorized_official_last_name": "KHONG",
        "authorized_official_first_name": "TOMMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-937-7675"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "I",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "423159901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Caregivers of Faith Home Care of Dallas",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Caregivers of Faith Home Care of Dallas",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; 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.