Living Homecare Incorporated

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

LIVING HOMECARE INCORPORATED

Practice address

5712 Valley Stream Way
Fort Worth, TX 76244-5185

Phone

(817) 773-8289

NPI assigned

Jan 17, 2024

Organization subpart

No

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

Authorized official

Name

Olajumoke Ajoke Oyediran, LVN

Title

Administrator

Phone

(817) 773-8289

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1705449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705449600000",
    "number": "1528829439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5712 VALLEY STREAM WAY",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762445185",
            "telephone_number": "817-773-8289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5712 VALLEY STREAM WAY",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762445185",
            "telephone_number": "817-773-8289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING HOMECARE INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-17",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A",
        "authorized_official_last_name": "OYEDIRAN",
        "authorized_official_first_name": "OLAJUMOKE",
        "authorized_official_middle_name": "AJOKE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "817-773-8289",
        "authorized_official_credential": "LVN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• In Home Supportive Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; 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.