Active NPI
Rose Wanjiku Ndumbi
- In Home Supportive Care Agency
- Wylie, TX
National Provider Identifier
1376125781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Practice address
- 500 Bachon Cir Apt B
Wylie, TX 75098-9024 - Phone
- (469) 685-8007
- NPI assigned
- Apr 25, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | 1376125758 | TX | |
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
500 Bachon Cir Apt B
Wylie, TX 75098-9024
Mailing address
500 Bachon Cir Apt B
Wylie, TX 75098-9024
Phone (469) 685-8007
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | willowbendhomecare | Direct |
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 |
|---|---|---|---|
| 1376125758 | TX | MD | In Home Supportive Care Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624320000000",
"number": "1376125781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 BACHON CIR APT B",
"city": "WYLIE",
"state": "TX",
"postal_code": "750989024",
"telephone_number": "469-685-8007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 BACHON CIR APT B",
"city": "WYLIE",
"state": "TX",
"postal_code": "750989024",
"telephone_number": "469-685-8007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NDUMBI",
"first_name": "ROSE",
"middle_name": "WANJIKU",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-04-25",
"last_updated": "2021-06-22",
"certification_date": "2021-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "TX",
"license": "1376125758",
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "willowbendhomecare",
"affiliation": "N",
"endpointDescription": "mail",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email",
"address_1": "500 Bachon Cir Apt B",
"city": "Wylie",
"state": "TX",
"country_code": "US",
"postal_code": "750989024",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}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 Jun 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.