Maryway Healthcare Services LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MARYWAY HEALTHCARE SERVICES LLC

Practice address

3329 Harbourtown Dr
Grand Prairie, TX 75052-7796

Phone

(817) 896-6039

Fax

(972) 606-1860

NPI assigned

May 3, 2012

Organization subpart

No

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

Authorized official

Name

Deborah Fasoro

Title

President/Administrator

Phone

(817) 896-6039

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1336003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336003200000",
    "number": "1336408863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3329 HARBOURTOWN DR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750527796",
            "telephone_number": "817-896-6039",
            "fax_number": "972-606-1860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3329 HARBOURTOWN DR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750527796",
            "telephone_number": "817-896-6039",
            "fax_number": "972-606-1860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYWAY HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-03",
        "last_updated": "2012-05-03",
        "status": "A",
        "authorized_official_last_name": "FASORO",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "PRESIDENT/ADMINISTRATOR",
        "authorized_official_telephone_number": "817-896-6039"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.