Audrey Idom
Individual provider Active NPI Home Health Aide · Dallas, TX
NPI 1447583448 · NPPES record last updated Sep 9, 2009
Key facts
- NPI
- 1447583448
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Aide 374U00000X
- Practice address
- 11052 Strayhorn Dr
Dallas, TX 75228-2449 - Phone
- (972) 698-0226
- NPI assigned
- Sep 9, 2009
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | Yes |
Addresses
Primary practice location
11052 Strayhorn Dr
Dallas, TX 75228-2449
Mailing address
11052 Strayhorn Dr
Dallas, TX 75228-2449
Phone (972) 698-0226
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 9, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.