Active NPI
Esoteric Health System LLC
- Durable Medical Equipment & Medical Supplies
- Dallas, TX
National Provider Identifier
1366856205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- ESOTERIC HEALTH SYSTEM LLC
- Practice address
- 11325 Pegasus St
Suite E260
Dallas, TX 75238-5219 - Phone
- (214) 396-3805
- Fax
- (214) 484-5071
- NPI assigned
- Jun 18, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jenetta Turner
- Title
- President/Member
- Phone
- (214) 396-2806
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| Community Based Hospice Care Agency | 251G00000X | |||
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary | ||
| Dialysis Equipment & Supplies (DME) | 332BD1200X | |||
| Nursing Facility Supplies (DME) | 332BN1400X | |||
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | |||
| Oxygen Equipment & Supplies (DME) | 332BX2000X |
Addresses
Primary practice location
11325 Pegasus St
Suite E260
Dallas, TX 75238-5219
Mailing address
PO Box 41060
Dallas, TX 75241-0060
Phone (214) 396-3805
Other names 1
- Esoteric Healthcare Management LLC
National Provider Directory
National Provider DirectoryLocations
11325 Pegasus St
Ste E260
Dallas, TX 75238
Phone (214) 396-3805
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403049600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1421020800000",
"number": "1366856205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 41060",
"city": "DALLAS",
"state": "TX",
"postal_code": "752410060",
"telephone_number": "214-396-3805",
"fax_number": "214-484-5071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11325 PEGASUS ST",
"address_2": "SUITE E260",
"city": "DALLAS",
"state": "TX",
"postal_code": "752385219",
"telephone_number": "214-396-3805",
"fax_number": "214-484-5071"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ESOTERIC HEALTH SYSTEM LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-06-18",
"last_updated": "2015-01-12",
"status": "A",
"authorized_official_last_name": "TURNER",
"authorized_official_first_name": "JENETTA",
"authorized_official_title_or_position": "PRESIDENT/MEMBER",
"authorized_official_telephone_number": "214-396-2806"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
},
{
"code": "332BD1200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BN1400X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Esoteric Healthcare Management LLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.