C & D Pediatric Home Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

C & D PEDIATRIC HOME CARE LLC

Practice address

1708 Tigris TRL
Mesquite, TX 75181-1572

Phone

(469) 363-6534

Fax

(972) 584-1708

NPI assigned

Jul 29, 2021

Last updated

Jul 29, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Claudia Hipolito

Title

Director

Phone

(693) 636-5344

Specialties & licenses 4

Addresses

Other identifiers 1

Electronic endpoints 1

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

{
    "created_epoch": "1627516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627516800000",
    "number": "1295408854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1708 TIGRIS TRL",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751811572",
            "telephone_number": "469-363-6534",
            "fax_number": "972-584-1708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1708 TIGRIS TRL",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751811572",
            "telephone_number": "469-363-6534",
            "fax_number": "972-584-1708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C & D PEDIATRIC HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-29",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-29",
        "status": "A",
        "authorized_official_last_name": "HIPOLITO",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "693-636-5344"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4693636534",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "email",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "PDF",
            "address_1": "1708 Tigris Trl",
            "city": "Mesquite",
            "state": "TX",
            "country_code": "US",
            "postal_code": "751811572",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Home Health Agency in Mesquite, TX
• Providers in Mesquite, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.