Servanthood Home Health Agency

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

SERVANTHOOD HOME HEALTH AGENCY

Doing business as

Servanthood Home Health Agency

Practice address

8309 Flythe Mill Rd
Fort Worth, TX 76120-2021

Phone

(414) 610-8655

NPI assigned

Nov 15, 2019

Organization subpart

No

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

Authorized official

Name

Monique Kelly

Title

Admin

Phone

(414) 610-8655

Specialties & licenses 1

Addresses

Other names 1

• Servanthood Home Health Agency Doing business as

Electronic endpoints 1

Practitioners 1

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

• Shannon R Tharp

  • Home Health Certified Respiratory Therapist
  • Fort Worth, TX
  • NPI 1306329131
  NPD

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

{
    "created_epoch": "1573776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573776000000",
    "number": "1376188169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8309 FLYTHE MILL RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761202021",
            "telephone_number": "414-610-8655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8309 FLYTHE MILL RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761202021",
            "telephone_number": "414-610-8655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERVANTHOOD HOME HEALTH AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-15",
        "last_updated": "2019-11-15",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "MONIQUE",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "414-610-8655"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.servanthoodhomehealth.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "address_1": "8309 Flythe Mill Rd",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761202021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Servanthood Home Health Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sergio Sanchez Zambrano, MD, PA
• Grace Serr, LPA
• Diana Serrano
• Gina Serrano, CPNP
• Yukhari Servance, MAT, LAT, ATC, PES
• Serve All Medical Camp Bowie, PLLC
• Serve All Medical Miller, PLLC
• Ibrahim Sesay
• Cory Dewitt Session Jr., LMSW
• Lauryn Session

• In Home Supportive Care Agency in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• In Home Supportive Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2019; 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.