Individual provider Active NPI

Warda Fettah

  • Home Health Aide
  • Manor, TX
National Provider Identifier
1356295588
Registry record updated Feb 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
2024701946 Issued in TX
Practice address
11401 US Highway 290 E Unit 217
Manor, TX 78653-8010
Phone
(737) 207-1280
NPI assigned
Feb 24, 2026
Last updated
Feb 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X 2024701946 TX Primary

Addresses

Primary practice location

11401 US Highway 290 E Unit 217
Manor, TX 78653-8010

Mailing address

11401 US Highway 290 E Unit 217
Manor, TX 78653-8010
Phone (737) 207-1280

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2024701946TXMDHome Health Aide

NPI Registry JSON

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

{
    "created_epoch": "1771891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771891200000",
    "number": "1356295588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11401 US HIGHWAY 290 E UNIT 217",
            "city": "MANOR",
            "state": "TX",
            "postal_code": "786538010",
            "telephone_number": "737-207-1280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11401 US HIGHWAY 290 E UNIT 217",
            "city": "MANOR",
            "state": "TX",
            "postal_code": "786538010",
            "telephone_number": "737-207-1280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FETTAH",
        "first_name": "WARDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-02-24",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "TX",
            "license": "2024701946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manor, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2026; 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.