NPIMap

Organization Active NPI

St Jude's Home Health Agency

Doing business as N/a

  • Home Health Agency
  • Irving, TX
National Provider Identifier
1477796555
Registry record updated Apr 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
011025 Issued in TX
Legal business name
ST JUDE'S HOME HEALTH AGENCY
Doing business as
N/a
Practice address
3304 Chandler CT
Irving, TX 75060-2278
Phone
(972) 790-2356
Fax
(972) 790-2709
NPI assigned
Apr 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2009

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

Authorized official

Name
Maryanne Uchenna Igboagi, RN
Title
Owner/ Administrator/Don
Phone
(214) 718-3826

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 011025 TX Primary

Addresses

Primary practice location

3304 Chandler CT
Irving, TX 75060-2278

Mailing address

3304 Chandler CT
Irving, TX 75060-2278
Phone (972) 790-2356

Other names 1

  • N/A Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mary Anne Igboagi2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1240185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240185600000",
    "number": "1477796555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3304 CHANDLER CT",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750602278",
            "telephone_number": "972-790-2356",
            "fax_number": "972-790-2709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3304 CHANDLER CT",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750602278",
            "telephone_number": "972-790-2356",
            "fax_number": "972-790-2709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JUDE'S HOME HEALTH AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-20",
        "last_updated": "2009-04-20",
        "status": "A",
        "authorized_official_last_name": "IGBOAGI",
        "authorized_official_first_name": "MARYANNE",
        "authorized_official_middle_name": "UCHENNA",
        "authorized_official_title_or_position": "OWNER/ ADMINISTRATOR/DON",
        "authorized_official_telephone_number": "214-718-3826",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "011025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "N/A",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2009; 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.