Active NPI
Samuel Mutizwa
- Home Health Agency
- Little Elm, TX
National Provider Identifier
1437820289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Practice address
- 1936 Cliffrose Dr
Little Elm, TX 75068-5790 - Phone
- (940) 279-5085
- Fax
- (469) 777-3995
- NPI assigned
- Sep 22, 2021
- Last updated
- Sep 22, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | NU | Primary |
Addresses
Primary practice location
1936 Cliffrose Dr
Little Elm, TX 75068-5790
Mailing address
1936 Cliffrose Dr
Little Elm, TX 75068-5790
Phone (940) 279-5085
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632268800000",
"number": "1437820289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1936 CLIFFROSE DR",
"city": "LITTLE ELM",
"state": "TX",
"postal_code": "750685790",
"telephone_number": "940-279-5085",
"fax_number": "469-777-3995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1936 CLIFFROSE DR",
"city": "LITTLE ELM",
"state": "TX",
"postal_code": "750685790",
"telephone_number": "940-279-5085",
"fax_number": "469-777-3995"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUTIZWA",
"first_name": "SAMUEL",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-09-22",
"last_updated": "2021-09-22",
"certification_date": "2021-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Little Elm, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.