Organization Active NPI

Ample Health Services

  • Community/Behavioral Health Agency
  • Dallas, TX
National Provider Identifier
1285058768
Registry record updated Feb 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
70461 Issued in TX
Legal business name
AMPLE HEALTH SERVICES
Doing business as
Ample Health Services
Practice address
2528 N Fitzhugh Ave
Dallas, TX 75204-3387
Phone
(972) 253-0000
Fax
(214) 823-2550
NPI assigned
Feb 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2014

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

Authorized official

Name
Eddie Chiedozie Osuagwu, LPCI/LCDC, M.ED, M.SNPI 1316105117
Title
Executive Director
Phone
(972) 253-0000

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
Community/Behavioral Health Agency 251S00000X 70461 TX Primary

Addresses

Primary practice location

2528 N Fitzhugh Ave
Dallas, TX 75204-3387

Mailing address

2528 North Fitzhugh Avenue
Dallas, TX 75204-3387
Phone (972) 253-0000

Other names 1

  • Ample Health Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201104001977 TX Part B Supplier - Clinic/Group Practice 1557592946 Receives reassigned benefits from 1 practitioner
Practice locations: Mesquite, TX

National Provider Directory

National Provider Directory

Locations

303 N Galloway Ave
Ste A
Mesquite, TX 75149
Phone (214) 324-5400

Practitioners & affiliated clinicians

Practitioners 2

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": "1391558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391558400000",
    "number": "1285058768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2528 NORTH FITZHUGH AVENUE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752043387",
            "telephone_number": "972-253-0000",
            "fax_number": "214-823-2550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2528 N FITZHUGH AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752043387",
            "telephone_number": "972-253-0000",
            "fax_number": "214-823-2550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMPLE HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-05",
        "last_updated": "2014-02-05",
        "status": "A",
        "authorized_official_last_name": "OSUAGWU",
        "authorized_official_first_name": "EDDIE",
        "authorized_official_middle_name": "CHIEDOZIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "972-253-0000",
        "authorized_official_credential": "LPCI/LCDC, M.ED, M.S"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TX",
            "license": "70461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ample Health 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 Feb 5, 2014; 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.