Organization Active NPI

Dominion Home Healthcare Services LLC

  • Home Health Agency
  • Anna, TX
National Provider Identifier
1306593306
Registry record updated Jan 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
DOMINION HOME HEALTHCARE SERVICES LLC
Practice address
733 Edinburgh Dr
Anna, TX 75409-0287
Phone
(214) 451-8727
Fax
(469) 519-4837
NPI assigned
Mar 9, 2022
Last updated
Jan 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2023

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

Authorized official

Name
Aderemi A JunaidNPI 1194206821
Title
Administrator
Phone
(214) 451-8727

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary
Personal Care Attendant 3747P1801X NU

Addresses

Primary practice location

733 Edinburgh Dr
Anna, TX 75409-0287

Mailing address

733 Edinburgh Dr
Anna, TX 75409-0287
Phone (214) 451-8727

Other identifiers 1

IdentifierTypeStateIssuer
1306593306MedicaidTX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1646784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673049600000",
    "number": "1306593306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "733 EDINBURGH DR",
            "city": "ANNA",
            "state": "TX",
            "postal_code": "754090287",
            "telephone_number": "214-451-8727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 EDINBURGH DR",
            "city": "ANNA",
            "state": "TX",
            "postal_code": "754090287",
            "telephone_number": "214-451-8727",
            "fax_number": "469-519-4837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMINION HOME HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-09",
        "last_updated": "2023-01-07",
        "certification_date": "2023-01-07",
        "status": "A",
        "authorized_official_last_name": "JUNAID",
        "authorized_official_first_name": "ADEREMI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "214-451-8727"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1306593306",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anna, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2023; 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.