Traditions Care Team Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

011966 Issued in TX

Legal business name

TRADITIONS CARE TEAM INC

Practice address

5045 Lorimar Dr Ste 230
Plano, TX 75093-5742

Phone

(972) 378-7902

NPI assigned

Oct 2, 2014

Organization subpart

No

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

Authorized official

Name

Stanley Simon

Title

Owner/Alt Administrator

Phone

(972) 378-7902

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Home health agency certification: CCN 747337

Legal name

TRADITIONS CARE TEAM INC

Doing business as

TRADITIONS HOME HEALTHCARE

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Apr 19, 2010

Last certification

Aug 22, 2019

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Apr 9, 2014 in TX

Enrollment address

5045 Lorimar Dr
Suite 230
Plano, TX 75093-5701

Listed as

Traditions Home HealthcareCCN 747337 · All quality measures

Overall star rating

2.5 of 5

Ownership

Proprietary

Certified

Apr 19, 2010

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Affiliated clinicians 5

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Arifa Abid, MD

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1083924450

  Home health agency

  Care Compare affiliation
• Kimberly Garduno, PA-C

  • Physician Assistant
  • Garland, TX
  • NPI 1245649516

  Home health agency

  Care Compare affiliation
• Michael Idemudia, DNP, APRN, FNP-C

  • Family Nurse Practitioner
  • Terrell, TX
  • NPI 1306391396

  Home health agency

  Care Compare affiliation
• Nidish Jose, AGNP-C

  • Adult Health Nurse Practitioner
  • Fort Worth, TX
  • NPI 1104348903

  Home health agency

  Care Compare affiliation
• Vudhi V Slabisak, MD

  • Orthopaedic Surgery of the Spine Physician
  • Plano, TX
  • NPI 1639109358

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1412208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412208000000",
    "number": "1447653696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5045 LORIMAR DR STE 230",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935742",
            "telephone_number": "972-378-7902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5045 LORIMAR DR STE 230",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935742",
            "telephone_number": "972-378-7902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRADITIONS CARE TEAM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-02",
        "last_updated": "2014-10-02",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_title_or_position": "OWNER/ALT ADMINISTRATOR",
        "authorized_official_telephone_number": "972-378-7902"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "011966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER",
            "identifier": "747337",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Traci Koen, LPC-S, PLLC (BrightWay Counseling and Wellness)
• Traci L. Nivens, M.D., P.a.
• Tracy C. Woehl Crna, P.C.
• Tradeway International LLC
• Tradewind Management LLC
• Danielle Trahan
• Ali Tran, PHARMD, RPH
• Alicia Tran
• Amy Mei Tran
• Anne Le Tran, RN

• Home Health Agency in Plano, TX
• Providers in Plano, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.