Hidden Jewel Healthcare Resoure Service

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

HIDDEN JEWEL HEALTHCARE RESOURE SERVICE

Practice address

1305 Kentucky Ave
Lancaster, TX 75134-1688

Phone

(469) 789-9205

Fax

(972) 224-0411

NPI assigned

Mar 14, 2016

Organization subpart

No

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

Authorized official

Name

Cynthia R Brown

Title

Administrator

Phone

(469) 789-9205

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1457913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1275994550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 398370",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753398370",
            "telephone_number": "469-789-9205",
            "fax_number": "972-224-0411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 KENTUCKY AVE",
            "city": "LANCASTER",
            "state": "TX",
            "postal_code": "751341688",
            "telephone_number": "469-789-9205",
            "fax_number": "972-224-0411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIDDEN JEWEL HEALTHCARE RESOURE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-14",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "469-789-9205"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; 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.