Southwest Home Medical Care Services, PLLC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA03163 Issued in TX

Legal business name

SOUTHWEST HOME MEDICAL CARE SERVICES, PLLC

Practice address

2012 Kalgary LN
Grand Prairie, TX 75052-8869

Phone

(817) 723-3638

Fax

(817) 453-1181

NPI assigned

Jan 22, 2008

Organization subpart

No

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

Authorized official

Name

Oladimeji Olumide Sorunke, PANPI 1538182936

Title

Ceo

Phone

(817) 723-3638

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

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

• Oladimeji Olu Sorunke, PA

  • Physician Assistant
  • Lancaster, TX
  • NPI 1538182936
  Medicare reassignment Authorized official
• Wasim Ahmed Sheikh, MD

  • Emergency Medicine Physician
  • Katy, TX
  • NPI 1407883788
  NPD (past)

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738886400000",
    "number": "1275710261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2012 KALGARY LN",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750528869",
            "telephone_number": "817-723-3638",
            "fax_number": "817-453-1181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2012 KALGARY LN",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750528869",
            "telephone_number": "817-723-3638",
            "fax_number": "817-453-1181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST HOME MEDICAL CARE SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-22",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A",
        "authorized_official_last_name": "SORUNKE",
        "authorized_official_first_name": "OLADIMEJI",
        "authorized_official_middle_name": "OLUMIDE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "817-723-3638",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA03163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Medical Physician Assistant in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Medical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.