Organization Active NPI

Huguley Memorial Medical Center

Doing business as Huguley Home Health

  • Home Health Agency
  • Burleson, TX
National Provider Identifier
1417063256
Registry record updated Apr 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
000476 Issued in TX
Legal business name
HUGULEY MEMORIAL MEDICAL CENTER
Doing business as
Huguley Home Health
Practice address
777 S Burleson Blvd
Burleson, TX 76028-4904
Phone
(817) 426-2200
Fax
(817) 447-7100
NPI assigned
Aug 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2012

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

Authorized official

Name
Mrs. Penny L. Johnson
Title
Cfo / Vice President
Phone
(817) 551-2704

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 000476 TX Primary

Addresses

Primary practice location

777 S Burleson Blvd
Burleson, TX 76028-4904

Mailing address

777 S Burleson Blvd
Burleson, TX 76028-4904
Phone (817) 426-2200

Other identifiers 6

IdentifierTypeStateIssuer
457575OtherTXUNITED HEALTHCARE
10009901OtherTXAMERIGROUP TEXAS MCD
457575OtherTXSTERLING LIFE MCR
23672101MedicaidTX
HH9081OtherTXBLUE CROSS BLUE SHIELD
2224746OtherTXAETNA

Other names 1

  • Huguley Home Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
David Engleking MD3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

777 S Burleson Blvd
Burleson, TX 76028
Phone (817) 426-2200

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333411200000",
    "number": "1417063256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 S BURLESON BLVD",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760284904",
            "telephone_number": "817-426-2200",
            "fax_number": "817-447-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 S BURLESON BLVD",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760284904",
            "telephone_number": "817-426-2200",
            "fax_number": "817-447-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUGULEY MEMORIAL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2012-04-03",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "PENNY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CFO / VICE PRESIDENT",
        "authorized_official_telephone_number": "817-551-2704",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "000476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "457575",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP TEXAS MCD",
            "identifier": "10009901",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STERLING LIFE MCR",
            "identifier": "457575",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "23672101",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "HH9081",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2224746",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Huguley Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burleson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2012; 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.