NPIMap

Organization Active NPI

Big Heart Companion LLC

  • In Home Supportive Care Agency
  • Wylie, TX
National Provider Identifier
1366093510
Registry record updated Apr 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
BIG HEART COMPANION LLC
Practice address
1302 Cedar Branch Dr
Wylie, TX 75098-6678
Phone
(601) 810-4101
NPI assigned
Sep 27, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2020

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

Authorized official

Name
Tydesheaia Ladejenee PoolNPI 1023664778
Title
Ceo
Phone
(601) 810-4101

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1302 Cedar Branch Dr
Wylie, TX 75098-6678

Mailing address

2996 Westvista Cir
Fort Worth, TX 76133-5792
Phone (601) 810-4101

Other names 1

  • Unconditional Love Home Care Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
RESTful URL Bigheartcompanion8@gmail.com Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1569542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586131200000",
    "number": "1366093510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2996 WESTVISTA CIR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761335792",
            "telephone_number": "601-810-4101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 CEDAR BRANCH DR",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750986678",
            "telephone_number": "601-810-4101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG HEART COMPANION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-27",
        "last_updated": "2020-04-06",
        "certification_date": "2020-04-06",
        "status": "A",
        "authorized_official_last_name": "POOL",
        "authorized_official_first_name": "TYDESHEAIA",
        "authorized_official_middle_name": "LADEJENEE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "601-810-4101"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "REST",
            "endpointTypeDescription": "RESTful URL",
            "endpoint": "Bigheartcompanion8@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email address",
            "address_1": "2996 Westvista Cir",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761335792",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Unconditional Love Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wylie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2020; 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.