Active NPI
Huguley Memorial Medical Center
Doing business as Huguley Home Health
- Home Health Agency
- Burleson, TX
National Provider Identifier
1417063256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 000476
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 457575 | Other | TX | UNITED HEALTHCARE |
| 10009901 | Other | TX | AMERIGROUP TEXAS MCD |
| 457575 | Other | TX | STERLING LIFE MCR |
| 23672101 | Medicaid | TX | |
| HH9081 | Other | TX | BLUE CROSS BLUE SHIELD |
| 2224746 | Other | TX | AETNA |
Other names 1
- Huguley Home Health
National Provider Directory
National Provider Directory- Tax ID family
- David Engleking MD
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Acute Care Hospital
- Fort Worth, TX
- NPI 1366740177
-
dba Huguley Memorial Medical Center
- Psychiatric Hospital Unit
- Burleson, TX
- NPI 1548273881
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
- Kristen G. Hosaka, D.C.
- Heather House, RNFA
- Stephanie Diana Housley, RN, IBCLC
- HP Burleson Opco, LLC (Morada Burleson)
- Huguley Medical Associates (Texas Health Medical Associates)
- Huguley Surgery Center, LLP (Doctors Surgery Center at Huguley)
- Deborah P Hume, R.N., M.ED., CET BCB
- Jordan Huntsberger
- Mohamed Ginawi Hussein, M.B.B.S., M.D.
- Judith Hynds, CPM, LM
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.