Active NPI
Mira Vista Enterprise, Inc.
Doing business as 1st Choice Home Health Agency
- Home Health Agency
- Fort Worth, TX
National Provider Identifier
1386800365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- MIRA VISTA ENTERPRISE, INC.
- Doing business as
- 1st Choice Home Health Agency
- Practice address
- 12500 Bella Vino Dr
Fort Worth, TX 76126-4930 - Phone
- (817) 819-2349
- NPI assigned
- Jul 30, 2008
- 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
- Alejandro Noblejas Flores
- Title
- President
- Phone
- (817) 819-2349
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | TX | Primary |
Addresses
Primary practice location
12500 Bella Vino Dr
Fort Worth, TX 76126-4930
Mailing address
12500 Bella Vino Dr
Fort Worth, TX 76126-4930
Phone (817) 819-2349
Other names 1
- 1st Choice Home Health Agency
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217376000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1483833600000",
"number": "1386800365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12500 BELLA VINO DR",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761264930",
"telephone_number": "817-819-2349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12500 BELLA VINO DR",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761264930",
"telephone_number": "817-819-2349"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIRA VISTA ENTERPRISE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-30",
"last_updated": "2017-01-08",
"status": "A",
"authorized_official_last_name": "FLORES",
"authorized_official_first_name": "ALEJANDRO",
"authorized_official_middle_name": "NOBLEJAS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "817-819-2349"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "1st Choice Home Health Agency",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fort Worth, TX
- Minyard Food Stores Inc. (Sack 'n Save #211)
- Minyard Food Stores Inc. (Minyard Pharmacy #33)
- Meagan Christine Minzenmayer Proctor
- Tasaduq Hussain Mir, M.D.
- Mira Vista Chiropractic
- Mira Vista Pharmacy PLLC (Mira Vista Apothecary)
- David G Miracle, MA, LPC-ASSOCIATE
- Antonio Miranda, PHD, RD, LD, CDCES
- Erin Miranda, LMSW
- Mario Miranda, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.