Active NPI
FC of Texas Inc
- Home Health Agency
- Carrollton, TX
National Provider Identifier
1306829437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 008790
- Legal business name
- FC OF TEXAS INC
- Practice address
- 3220 Keller Springs Rd Ste 108
Carrollton, TX 75006-5911 - Phone
- (214) 688-0330
- Fax
- (214) 630-6061
- NPI assigned
- Nov 22, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. John M Kunysz Jr.
- Title
- Ceo
- Phone
- (214) 445-3750
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 008790 | TX | Primary |
| Nursing Care Agency | 251J00000X |
Addresses
Primary practice location
3220 Keller Springs Rd Ste 108
Carrollton, TX 75006-5911
Mailing address
3220 Keller Springs Rd Ste 108
Carrollton, TX 75006-5911
Phone (214) 445-3750
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 164891703 | Medicaid | TX |
Other names 1
- Intrepid USA Healthcare Services
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132617600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1565136000000",
"number": "1306829437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3220 KELLER SPRINGS RD STE 108",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750065911",
"telephone_number": "214-445-3750",
"fax_number": "214-445-3900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3220 KELLER SPRINGS RD STE 108",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750065911",
"telephone_number": "214-688-0330",
"fax_number": "214-630-6061"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FC OF TEXAS INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-22",
"last_updated": "2019-08-07",
"status": "A",
"authorized_official_last_name": "KUNYSZ",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "214-445-3750",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "TX",
"license": "008790",
"primary": true
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "164891703",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Intrepid USA Healthcare Services",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Intrepid USA Healthcare Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Carrollton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.