Community Care Health Agency, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

014813 Issued in TX

Legal business name

COMMUNITY CARE HEALTH AGENCY, INC.

Practice address

1600 E Pioneer Pkwy
Suite 343
Arlington, TX 76010-6542

Phone

(972) 266-8511

Fax

(972) 266-8522

NPI assigned

Apr 19, 2007

Last updated

Dec 1, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Evalyne C Sudoi, RN BSN MBA

Title

Administrator/Don

Phone

(972) 522-8180

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448928000000",
    "number": "1508083858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 E PIONEER PKWY",
            "address_2": "SUITE 343",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760106542",
            "telephone_number": "972-266-8511",
            "fax_number": "972-266-8522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 E PIONEER PKWY",
            "address_2": "SUITE 343",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760106542",
            "telephone_number": "972-266-8511",
            "fax_number": "972-266-8522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CARE HEALTH AGENCY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2015-12-01",
        "status": "A",
        "authorized_official_last_name": "SUDOI",
        "authorized_official_first_name": "EVALYNE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ADMINISTRATOR/DON",
        "authorized_official_telephone_number": "972-522-8180",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN BSN MBA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "014813",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "301132201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Columbia Medical Center of Arlington Subsidiary LP (Medical City Arlington)
• Columbia Medical Center of Arlington Subsidiary LP (Medical City Arlington)
• Michael Combs, DC, DACNB, FACFN
• Comfort Oak Health LLC
• Comforter Healthcare Services Inc.
• Community Pathways Inc.
• Community Primary Care
• Community Urgent Care, LLC
• Compass Community Care Inc.
• Compassion Family Counseling

• Home Health Agency in Arlington, TX
• Providers in Arlington, 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 Dec 1, 2015; 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.