Organization Active NPI

Caresource Home Health Services

  • Home Health Agency
  • Grand Prairie, TX
National Provider Identifier
1376825190
Registry record updated Sep 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CARESOURCE HOME HEALTH SERVICES
Practice address
525 W Westchester Pkwy
#525
Grand Prairie, TX 75052-2824
Phone
(972) 408-3535
NPI assigned
Sep 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2011

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

Authorized official

Name
Sam C Okudah
Title
Director
Phone
(972) 408-3535

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X TX Primary

Addresses

Primary practice location

525 W Westchester Pkwy
#525
Grand Prairie, TX 75052-2824

Mailing address

525 W Westchester Pkwy
#525
Grand Prairie, TX 75052-2824

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1316390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316390400000",
    "number": "1376825190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 W WESTCHESTER PKWY",
            "address_2": "#525",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750522824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 W WESTCHESTER PKWY",
            "address_2": "#525",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750522824",
            "telephone_number": "972-408-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARESOURCE HOME HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-19",
        "last_updated": "2011-09-19",
        "status": "A",
        "authorized_official_last_name": "OKUDAH",
        "authorized_official_first_name": "SAM",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "972-408-3535"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Prairie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2011; 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.