Organization Active NPI

Pegasus Caregivers Inc

  • Home Health Agency
  • Mansfield, TX
National Provider Identifier
1467709303
Registry record updated Aug 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PEGASUS CAREGIVERS INC
Practice address
1218 Autumn Dr
Mansfield, TX 76063-7940
Phone
(682) 422-3436
NPI assigned
Aug 9, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2012

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

Authorized official

Name
Ms. Oluwatoyin Ajiboye, RN
Title
Director
Phone
(682) 422-3436

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Personal Care AttendantGroup: 193400000X SINGLE SPECIALTY GROUP 3747P1801X

Addresses

Primary practice location

1218 Autumn Dr
Mansfield, TX 76063-7940

Mailing address

1218 Autumn Dr
Mansfield, TX 76063-7940
Phone (682) 422-3436

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1344470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344470400000",
    "number": "1467709303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1218 AUTUMN DR",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760637940",
            "telephone_number": "682-422-3436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1218 AUTUMN DR",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760637940",
            "telephone_number": "682-422-3436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEGASUS CAREGIVERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-09",
        "last_updated": "2012-08-09",
        "status": "A",
        "authorized_official_last_name": "AJIBOYE",
        "authorized_official_first_name": "OLUWATOYIN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "682-422-3436",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.