Triad Pediatric Home Health, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

802112451 Issued in TX

Legal business name

TRIAD PEDIATRIC HOME HEALTH, LLC

Practice address

6111 Shoal Creek TRL
Garland, TX 75044-3843

Phone

(214) 422-6904

NPI assigned

Jan 5, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Ezequiel Valdez

Title

Ceo

Phone

(214) 422-6904

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1420416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420416000000",
    "number": "1548658255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6111 SHOAL CREEK TRL",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750443843",
            "telephone_number": "214-422-6904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6111 SHOAL CREEK TRL",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750443843",
            "telephone_number": "214-422-6904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIAD PEDIATRIC HOME HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-05",
        "last_updated": "2015-01-05",
        "status": "A",
        "authorized_official_last_name": "VALDEZ",
        "authorized_official_first_name": "EZEQUIEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "214-422-6904",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "802112451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Garland, TX
• Providers in Garland, 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 Jan 5, 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.