Nexphase Healthcare LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

NEXPHASE HEALTHCARE LLC

Practice address

1201 N Watson Rd Ste 205
Arlington, TX 76006-6120

Phone

(817) 500-7577

NPI assigned

Sep 7, 2020

Organization subpart

No

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

Authorized official

Name

Loveline NcheNPI 1467891937

Title

Owner

Phone

(817) 500-7577

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Nexphase Healthcare LLC Former legal business name

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Loveline M Nche

  • Family Nurse Practitioner
  • Mansfield, TX
  • NPI 1467891937
  NPD (past) Authorized official
• Omolara Abidemi Olanrewaju

  • Family Nurse Practitioner
  • Arlington, TX
  • NPI 1306426549
  NPD (past)

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

{
    "created_epoch": "1599436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599523200000",
    "number": "1497369474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 N WATSON RD STE 205",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760066120",
            "telephone_number": "817-500-7577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 N WATSON RD STE 205",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760066120",
            "telephone_number": "817-500-7577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEXPHASE HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-07",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A",
        "authorized_official_last_name": "NCHE",
        "authorized_official_first_name": "LOVELINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-500-7577"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IRS",
            "identifier": "85-2892674",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nexphase Healthcare LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Nexphase Healthcare LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Arlington, TX
• Providers in Arlington, TX by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2020; 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.