Adalight Home Health LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

005253 Issued in TX

Legal business name

ADALIGHT HOME HEALTH LLC

Practice address

3200 Broadway Blvd Ste 274
Garland, TX 75043-1577

Phone

(972) 926-4558

Fax

(972) 926-4919

NPI assigned

Jul 6, 2006

Organization subpart

No

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

Authorized official

Name

Chris Iheanyi Nwaneri

Title

Administrator

Phone

(972) 926-4558

Specialties & licenses 1

Addresses

Other identifiers 6

Locations

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335744000000",
    "number": "1285665299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 BROADWAY BLVD STE 274",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750431577",
            "telephone_number": "972-926-4558",
            "fax_number": "972-926-4919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 BROADWAY BLVD STE 274",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750431577",
            "telephone_number": "972-926-4558",
            "fax_number": "972-926-4919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADALIGHT HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2012-04-30",
        "status": "A",
        "authorized_official_last_name": "NWANERI",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_middle_name": "IHEANYI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "972-926-4558"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "005253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001007825",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001007029",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001016434",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001012748",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001007824",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001012470",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Garland, TX
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2012; 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.