Active NPI
CTW Home Health, Inc.
Doing business as Circle of Care
- Home Health Agency
- Dallas, TX
National Provider Identifier
1558658922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 115071
- Legal business name
- CTW HOME HEALTH, INC.
- Doing business as
- Circle of Care
- Practice address
- 2730 N Stemmons Fwy
West Tower, Suite 402
Dallas, TX 75207-2279 - Phone
- (972) 331-9100
- Fax
- (972) 331-9102
- NPI assigned
- Jul 6, 2011
- Last updated
- Jul 6, 2011
- Organization subpart
- Yes
- Parent organization
- CTW HOME HEALTH, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jimi Ellis
- Title
- Vice President
- Phone
- (210) 698-9844
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 115071 | TX | Primary |
Addresses
Primary practice location
2730 N Stemmons Fwy
West Tower, Suite 402
Dallas, TX 75207-2279
Mailing address
2730 N Stemmons Fwy
West Tower, Suite 402
Dallas, TX 75207-2279
Phone (972) 331-9100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 186012401 | Medicaid | TX |
Other names 1
- Circle of Care
National Provider Directory
National Provider Directory- Tax ID family
- CTW Home Health LLC
- Part of
- CTW Home Health LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Locations
2730 N Stemmons Fwy
Ste 402
Dallas, TX 75207
Phone (972) 331-9100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309910400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1309910400000",
"number": "1558658922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2730 N STEMMONS FWY",
"address_2": "WEST TOWER, SUITE 402",
"city": "DALLAS",
"state": "TX",
"postal_code": "752072279",
"telephone_number": "972-331-9100",
"fax_number": "972-331-9102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2730 N STEMMONS FWY",
"address_2": "WEST TOWER, SUITE 402",
"city": "DALLAS",
"state": "TX",
"postal_code": "752072279",
"telephone_number": "972-331-9100",
"fax_number": "972-331-9102"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CTW HOME HEALTH, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CTW HOME HEALTH, INC.",
"enumeration_date": "2011-07-06",
"last_updated": "2011-07-06",
"status": "A",
"authorized_official_last_name": "ELLIS",
"authorized_official_first_name": "JIMI",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "210-698-9844",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "TX",
"license": "115071",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "186012401",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Circle of Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.