Organization Active NPI

Pistiscare Pediatrics Home Health LLC

  • Home Health Agency
  • Celina, TX
National Provider Identifier
1407440787
Registry record updated Feb 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PISTISCARE PEDIATRICS HOME HEALTH LLC
Practice address
2525 Appaloosa LN
Celina, TX 75009-4690
Phone
(469) 202-3045
NPI assigned
Feb 26, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2021

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

Authorized official

Name
Daniel Tambe
Title
Owner/President
Phone
(469) 363-7764

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2525 Appaloosa LN
Celina, TX 75009-4690

Mailing address

2525 Appaloosa LN
Celina, TX 75009-4690
Phone (469) 202-3045

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2216767Pistiscare Pediatrics Home Health, LLC2525 Appaloosa LN, Celina, TX 75009Certificate of waiverMar 15, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1614297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614297600000",
    "number": "1407440787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 APPALOOSA LN",
            "city": "CELINA",
            "state": "TX",
            "postal_code": "750094690",
            "telephone_number": "469-202-3045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 APPALOOSA LN",
            "city": "CELINA",
            "state": "TX",
            "postal_code": "750094690",
            "telephone_number": "469-202-3045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PISTISCARE PEDIATRICS HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-26",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-26",
        "status": "A",
        "authorized_official_last_name": "TAMBE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "469-363-7764"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Celina, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.