Proximus Home Health Services Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

016074 Issued in TX

Legal business name

PROXIMUS HOME HEALTH SERVICES INC

Doing business as

Proximus Home Health Services Inc

Practice address

2401 Avenue J
Suite 215
Arlington, TX 76006-6230

Phone

(817) 633-9058

Fax

(817) 471-3269

NPI assigned

Sep 10, 2013

Last updated

Mar 19, 2014By 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

Etienne Clement Poufong, RN-BSN

Title

Administrator

Phone

(817) 633-9058

Specialties & licenses 2

Addresses

Other names 1

• Proximus Home Health Services Inc Doing business as

Locations

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

{
    "created_epoch": "1378771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395187200000",
    "number": "1578998472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 AVENUE J",
            "address_2": "SUITE 215",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760066230",
            "telephone_number": "817-633-9058",
            "fax_number": "817-471-3269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 AVENUE J",
            "address_2": "SUITE 215",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760066230",
            "telephone_number": "817-633-9058",
            "fax_number": "817-471-3269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROXIMUS HOME HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-10",
        "last_updated": "2014-03-19",
        "status": "A",
        "authorized_official_last_name": "POUFONG",
        "authorized_official_first_name": "ETIENNE",
        "authorized_official_middle_name": "CLEMENT",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "817-633-9058",
        "authorized_official_credential": "RN-BSN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "016074",
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Proximus Home Health Services Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Arlington, TX
• Providers in Arlington, 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 Mar 19, 2014; 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.