Active NPI
Yaw Dwomoh
- Home Health Agency
- Garland, TX
National Provider Identifier
1407471337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Practice address
- 1718 Hollow Creek CT
Garland, TX 75040-5517 - Phone
- (469) 499-7762
- NPI assigned
- Jun 16, 2020
- Last updated
- Jun 16, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | NU | Primary | |
| Homemaker | 376J00000X | NU | ||
| Nurse's Aide | 376K00000X | NU | ||
| Licensed Vocational Nurse | 164X00000X | 311896 | TX | |
| In Home Supportive Care Agency | 253Z00000X | NU |
Addresses
Primary practice location
1718 Hollow Creek CT
Garland, TX 75040-5517
Mailing address
1718 Hollow Creek CT
Garland, TX 75040-5517
Phone (469) 499-7762
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 123456 | Other | TX | CERTIFIED HOME HEALTH CARE, PAS |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Dallas | Direct | |
| Other URL | Dallas | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 311896 | TX | MD | Licensed Vocational Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A & D Home Health Care LLC | In Home Supportive Care | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- In Home Supportive Care Agency
- Garland, TX
- NPI 1881298453
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592265600000",
"number": "1407471337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1718 HOLLOW CREEK CT",
"city": "GARLAND",
"state": "TX",
"postal_code": "750405517",
"telephone_number": "469-499-7762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1718 HOLLOW CREEK CT",
"city": "GARLAND",
"state": "TX",
"postal_code": "750405517",
"telephone_number": "469-499-7762"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DWOMOH",
"first_name": "YAW",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-06-16",
"last_updated": "2020-06-16",
"certification_date": "2020-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "TX",
"license": "311896",
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CERTIFIED HOME HEALTH CARE, PAS",
"identifier": "123456",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Dallas",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1718 Hollow Creek Ct",
"city": "Garland",
"state": "TX",
"country_code": "US",
"postal_code": "750405517",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Dallas",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1718 Hollow Creek Ct",
"city": "Garland",
"state": "TX",
"country_code": "US",
"postal_code": "750405517",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Garland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.