NPIMap

Organization Active NPI

PC Home Health

  • Home Health Agency
  • Dallas, TX
National Provider Identifier
1598187130
Registry record updated Jan 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PC HOME HEALTH
Practice address
1155 Warrior Dr
Dallas, TX 75253-5073
Phone
(214) 991-5619
Fax
(214) 484-2376
NPI assigned
Jan 16, 2014
Last updated
Jan 16, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2014

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

Authorized official

Name
Mr. Antoine Moury'E Beachum, CMANPI 1477981793
Title
Owner
Phone
(214) 991-5619

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1155 Warrior Dr
Dallas, TX 75253-5073

Mailing address

1155 Warrior Dr
Dallas, TX 75253-5073
Phone (214) 991-5619

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1389830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389830400000",
    "number": "1598187130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 WARRIOR DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752535073",
            "telephone_number": "214-991-5619",
            "fax_number": "214-484-2376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 WARRIOR DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752535073",
            "telephone_number": "214-991-5619",
            "fax_number": "214-484-2376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PC HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-16",
        "last_updated": "2014-01-16",
        "status": "A",
        "authorized_official_last_name": "BEACHUM",
        "authorized_official_first_name": "ANTOINE",
        "authorized_official_middle_name": "MOURY'E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-991-5619",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CMA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 16, 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.