Organization Active NPI

Farmington Place Healthcare Services

Doing business as Farmington Place Habilitation Services

  • Home Health Agency
  • Dallas, TX
National Provider Identifier
1255589834
Registry record updated Sep 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
9059 Issued in TX
Legal business name
FARMINGTON PLACE HEALTHCARE SERVICES
Doing business as
Farmington Place Habilitation Services
Practice address
11325 Pegasus St # S-142
Dallas, TX 75238-5239
Phone
(214) 221-0020
NPI assigned
Sep 8, 2008
Last updated
Sep 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2008

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

Authorized official

Name
Mr. Kehinde Olugbolahan Ogundipe
Title
Ceo/Administrator
Phone
(214) 221-0020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 9059 TX Primary

Addresses

Primary practice location

11325 Pegasus St # S-142
Dallas, TX 75238-5239

Mailing address

11325 Pegasus St S-142
Dallas, TX 75238-5239
Phone (214) 221-0020

Other identifiers 1

IdentifierTypeStateIssuer
9059OtherTXTEXAS HCSSA LICENSE #

Other names 1

  • Farmington Place Habilitation Services Doing business as

National Provider Directory

National Provider Directory

Locations

11325 Pegasus St
Ste S142
Dallas, TX 75238
Phone (214) 221-0020

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1220832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220832000000",
    "number": "1255589834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11325 PEGASUS ST S-142",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752385239",
            "telephone_number": "214-221-0020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11325 PEGASUS ST # S-142",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752385239",
            "telephone_number": "214-221-0020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARMINGTON PLACE HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-08",
        "last_updated": "2008-09-08",
        "status": "A",
        "authorized_official_last_name": "OGUNDIPE",
        "authorized_official_first_name": "KEHINDE",
        "authorized_official_middle_name": "OLUGBOLAHAN",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "214-221-0020",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "9059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS HCSSA LICENSE #",
            "identifier": "9059",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Farmington Place Habilitation Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 8, 2008; 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.