Procare Home Care Agency

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

PROCARE HOME CARE AGENCY

Practice address

7924 Preston Rd
Suite 100a
Plano, TX 75024-2301

Phone

(972) 712-6956

Fax

(972) 712-4454

NPI assigned

Jan 29, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Olufemi Owoseni

Title

Administrator

Phone

(972) 712-6956

Specialties & licenses 5

Addresses

Other identifiers 3

Other names 1

• Procare Home Care Agency Doing business as

Listed as

Procare Home Care AgencyCCN 679143

Ownership

Proprietary

Certified

Jun 21, 2002

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Odette Louise Campbell, M.D.

  • Internal Medicine Physician
  • Plano, TX
  • NPI 1114989092
  NPD (past)

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550707200000",
    "number": "1366588147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7924 PRESTON RD",
            "address_2": "SUITE 100A",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750242301",
            "telephone_number": "972-712-6956",
            "fax_number": "972-712-4454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7924 PRESTON RD",
            "address_2": "SUITE 100A",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750242301",
            "telephone_number": "972-712-6956",
            "fax_number": "972-712-4454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROCARE HOME CARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2019-02-21",
        "status": "A",
        "authorized_official_last_name": "OWOSENI",
        "authorized_official_first_name": "OLUFEMI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "972-712-6956",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "372600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1012925",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013870",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013077",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Procare Home Care Agency",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Procare Home Care Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Nursing Care Agency in Plano, TX
• Providers in Plano, TX by specialty
• Nursing Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.