Medconnect Healthcare LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MEDCONNECT HEALTHCARE LLC

Practice address

3951 Dechman Dr Apt 8206
Grand Prairie, TX 75052-6875

Phone

(214) 444-7406

Fax

(469) 719-3685

NPI assigned

Aug 13, 2020

Organization subpart

No

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

Authorized official

Name

Sakwe Bongo McDonald

Title

Owner

Phone

(214) 444-7406

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1597276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597276800000",
    "number": "1558972489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3951 DECHMAN DR APT 8206",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750526875",
            "telephone_number": "214-444-7406",
            "fax_number": "469-719-3685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3951 DECHMAN DR APT 8206",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750526875",
            "telephone_number": "214-444-7406",
            "fax_number": "469-719-3685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDCONNECT HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-13",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A",
        "authorized_official_last_name": "BONGO MCDONALD",
        "authorized_official_first_name": "SAKWE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-444-7406"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Aug 13, 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.