Organization Active NPI

Chrysolite Precious Homecare

  • In Home Supportive Care Agency
  • Fort Worth, TX
National Provider Identifier
1548876592
Registry record updated Sep 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
CHRYSOLITE PRECIOUS HOMECARE
Practice address
3556 Vela LN Apt 5209
Fort Worth, TX 76137-2276
Phone
(214) 233-5633
NPI assigned
Sep 16, 2020
Last updated
Sep 16, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2020

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

Authorized official

Name
Mrs. Christelle Wadine Kamanda
Title
Medical Assistant
Phone
(405) 543-9344

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

3556 Vela LN Apt 5209
Fort Worth, TX 76137-2276

Mailing address

3556 Vela LN Apt 5209
Fort Worth, TX 76137-2276
Phone (214) 233-5633

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1600214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600214400000",
    "number": "1548876592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3556 VELA LN APT 5209",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761372276",
            "telephone_number": "214-233-5633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3556 VELA LN APT 5209",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761372276",
            "telephone_number": "214-233-5633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRYSOLITE PRECIOUS HOMECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-16",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-15",
        "status": "A",
        "authorized_official_last_name": "KAMANDA",
        "authorized_official_first_name": "CHRISTELLE",
        "authorized_official_middle_name": "WADINE",
        "authorized_official_title_or_position": "MEDICAL ASSISTANT",
        "authorized_official_telephone_number": "405-543-9344",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.