Organization Active NPI

Distinct Home Health Service LLC

  • Home Health Agency
  • Grand Prairie, TX
National Provider Identifier
1255917936
Registry record updated Mar 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
DISTINCT HOME HEALTH SERVICE LLC
Practice address
2832 N Camino Lagos
Grand Prairie, TX 75054-6755
Phone
(682) 554-2234
Fax
(214) 988-2024
NPI assigned
Mar 22, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2021

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

Authorized official

Name
Shelley Aleni-OdehNPI 1306437355
Title
Owner
Phone
(682) 554-2234

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2832 N Camino Lagos
Grand Prairie, TX 75054-6755

Mailing address

2832 N Camino Lagos
Grand Prairie, TX 75054-6755
Phone (682) 554-2234

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1616371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616371200000",
    "number": "1255917936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2832 N CAMINO LAGOS",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750546755",
            "telephone_number": "682-554-2234",
            "fax_number": "214-988-2024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2832 N CAMINO LAGOS",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750546755",
            "telephone_number": "682-554-2234",
            "fax_number": "214-988-2024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISTINCT HOME HEALTH SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-22",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A",
        "authorized_official_last_name": "ALENI-ODEH",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "682-554-2234"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Prairie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2021; 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.