Etched Quality Care ,LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

ETCHED QUALITY CARE ,LLC

Practice address

3626 N Hall St Ste 610
Dallas, TX 75219-5131

Phone

(214) 584-7077

NPI assigned

Jun 4, 2022

Last updated

Jun 4, 2022By 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

Suja Kurian

Title

Alternate Administrator

Phone

(214) 584-7077

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1654300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654300800000",
    "number": "1508505710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3626 N HALL ST STE 610",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752195131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3626 N HALL ST STE 610",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752195131",
            "telephone_number": "214-584-7077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETCHED QUALITY CARE ,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-04",
        "last_updated": "2022-06-04",
        "certification_date": "2022-06-04",
        "status": "A",
        "authorized_official_last_name": "KURIAN",
        "authorized_official_first_name": "SUJA",
        "authorized_official_title_or_position": "ALTERNATE ADMINISTRATOR",
        "authorized_official_telephone_number": "214-584-7077"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2022; 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.