Elder Care Home Health Services, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

007748 Issued in TX

Legal business name

ELDER CARE HOME HEALTH SERVICES, LLC

Practice address

6523 Duck Creek Dr
Suite C
Garland, TX 75043-3644

Phone

(972) 303-1734

NPI assigned

Oct 26, 2006

Organization subpart

No

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

Authorized official

Name

Adetutu Etti, RN

Title

Administrator

Phone

(972) 303-1734

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298246400000",
    "number": "1295810232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6523 DUCK CREEK DR",
            "address_2": "SUITE C",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750433644",
            "telephone_number": "972-303-1734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6523 DUCK CREEK DR",
            "address_2": "SUITE C",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750433644",
            "telephone_number": "972-303-1734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDER CARE HOME HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2011-02-21",
        "status": "A",
        "authorized_official_last_name": "ETTI",
        "authorized_official_first_name": "ADETUTU",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "972-303-1734",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "007748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1593006",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2011; 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.