Active NPI
Affirm Healthcare, LLC
- Home Health Agency
- Dallas, TN
National Provider Identifier
1356512453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- AFFIRM HEALTHCARE, LLC
- Practice address
- 10950 Woodmeadow Pkwy,
#223
Dallas, TN 75228 - Phone
- (972) 681-2207
- Fax
- (972) 681-5395
- NPI assigned
- Mar 17, 2008
- Last updated
- Mar 17, 2008
- Organization subpart
- Yes
- Parent organization
- AFFIRM HEALTHCARE, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Victor U Ebolum
- Title
- Administrator
- Phone
- (972) 681-2207
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
10950 Woodmeadow Pkwy,
#223
Dallas, TN 75228
Mailing address
P. O. Box 571908
Dallas, TN 75357
Phone (972) 681-2207
National Provider Directory
National Provider Directory- Part of
- Affirm Healthcare LLC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205712000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1205712000000",
"number": "1356512453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P. O. BOX 571908",
"city": "DALLAS",
"state": "TN",
"postal_code": "75357",
"telephone_number": "972-681-2207",
"fax_number": "972-681-5395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10950 WOODMEADOW PKWY,",
"address_2": "#223",
"city": "DALLAS",
"state": "TN",
"postal_code": "75228",
"telephone_number": "972-681-2207",
"fax_number": "972-681-5395"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AFFIRM HEALTHCARE, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "AFFIRM HEALTHCARE, LLC",
"enumeration_date": "2008-03-17",
"last_updated": "2008-03-17",
"status": "A",
"authorized_official_last_name": "EBOLUM",
"authorized_official_first_name": "VICTOR",
"authorized_official_middle_name": "U",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "972-681-2207"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.