Strong Renewed Healthcare Agency LLC

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Legal business name

STRONG RENEWED HEALTHCARE AGENCY LLC

Practice address

1605 Wavecrest Dr
Glenn Heights, TX 75154-7929

Phone

(469) 769-4568

NPI assigned

Feb 5, 2024

Last updated

Feb 5, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Keithum Strong

Title

Owner

Phone

(469) 769-4568

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1707091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707091200000",
    "number": "1578326211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 WAVECREST DR",
            "city": "GLENN HEIGHTS",
            "state": "TX",
            "postal_code": "751547929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 WAVECREST DR",
            "city": "GLENN HEIGHTS",
            "state": "TX",
            "postal_code": "751547929",
            "telephone_number": "469-769-4568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRONG RENEWED HEALTHCARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-05",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A",
        "authorized_official_last_name": "STRONG",
        "authorized_official_first_name": "KEITHUM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-769-4568"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Glenn Heights, TX by specialty
• Personal Care Attendant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.