Organization Active NPI

Mira Vista Enterprise, Inc.

Doing business as 1st Choice Home Health Agency

  • Home Health Agency
  • Fort Worth, TX
National Provider Identifier
1386800365
Registry record updated Jan 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Jan 8, 2017

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

NPI 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

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.

Verify at the official NPI Registry.