Active NPI
Warda Fettah
- Home Health Aide
- Manor, TX
National Provider Identifier
1356295588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- 2024701946
- 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, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2024701946 | TX | MD | Home 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.