Organization Active NPI

Eccential Heaith Services

Doing business as michael care continuum

  • Home Health Agency
  • Grand Prairie, TX
National Provider Identifier
1497000475
Registry record updated Jul 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
014281 Issued in TX
Legal business name
ECCENTIAL HEAITH SERVICES
Doing business as
michael care continuum
Practice address
701 Dalworth St
Grand Prairie, TX 75050-5544
Phone
(682) 222-1020
Fax
(972) 264-2400
NPI assigned
Jul 17, 2012
Last updated
Jul 17, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2012

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

Authorized official

Name
Mr. Michael Akinboro
Title
Administrator/Don
Phone
(682) 222-1020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 014281 TX Primary

Addresses

Primary practice location

701 Dalworth St
Grand Prairie, TX 75050-5544

Mailing address

701 Dalworth St
Grand Prairie, TX 75050-5544
Phone (682) 222-1020

Other identifiers 1

IdentifierTypeStateIssuer
014281MedicaidTX

Other names 1

  • michael care continuum Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Eccential Heaith Services2 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.

Locations

701 Dalworth St
Grand Prairie, TX 75050
Phone (682) 222-1020

NPI Registry JSON

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

{
    "created_epoch": "1342483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342483200000",
    "number": "1497000475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 DALWORTH ST",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750505544",
            "telephone_number": "682-222-1020",
            "fax_number": "972-264-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 DALWORTH ST",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750505544",
            "telephone_number": "682-222-1020",
            "fax_number": "972-264-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECCENTIAL HEAITH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-17",
        "last_updated": "2012-07-17",
        "status": "A",
        "authorized_official_last_name": "AKINBORO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "ADMINISTRATOR/DON",
        "authorized_official_telephone_number": "682-222-1020",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "014281",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014281",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "michael care continuum",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grand Prairie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.