Active NPI
Healing Pool Home Healthcare Agency
Doing business as Healing Pool
- Home Health Agency
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- HEALING POOL HOME HEALTHCARE AGENCY
- Doing business as
- Healing Pool
- Practice address
- 9696 Skillman St Ste 200a
Dallas, TX 75243-8264 - Phone
- (214) 440-7151
- Fax
- (844) 837-1906
- NPI assigned
- Feb 5, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Regina Edamwen Iyawe, RN
- Title
- Administration
- Phone
- (214) 440-7151
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary | ||
| Community Based Hospice Care Agency | 251G00000X |
Addresses
Primary practice location
9696 Skillman St Ste 200a
Dallas, TX 75243-8264
Mailing address
9696 Skillman St Ste 200A2-3
Dallas, TX 75243-8264
Phone (214) 440-7151
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396980132 | Medicaid | TX |
Other names 1
- HEALING POOL
National Provider Directory
National Provider DirectoryLocations
407 N Main St
#23
Bonham, TX 75418
9696 Skillman St
Ste 200
Dallas, TX 75243
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.
-
- Family Nurse Practitioner
- Denison, TX
- NPI 1619169752
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549324800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1594080000000",
"number": "1598220477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9696 SKILLMAN ST STE 200A2-3",
"city": "DALLAS",
"state": "TX",
"postal_code": "752438264",
"telephone_number": "214-440-7151",
"fax_number": "844-837-1906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9696 SKILLMAN ST STE 200A",
"city": "DALLAS",
"state": "TX",
"postal_code": "752438264",
"telephone_number": "214-440-7151",
"fax_number": "844-837-1906"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALING POOL HOME HEALTHCARE AGENCY",
"organizational_subpart": "NO",
"enumeration_date": "2019-02-05",
"last_updated": "2020-07-07",
"certification_date": "2020-07-07",
"status": "A",
"authorized_official_last_name": "IYAWE",
"authorized_official_first_name": "REGINA",
"authorized_official_middle_name": "EDAMWEN",
"authorized_official_title_or_position": "ADMINISTRATION",
"authorized_official_telephone_number": "214-440-7151",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1396980132",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "HEALING POOL",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Dallas, TX
- Healing in Color PLLC (Healing in Color Collective)
- Healing Light Psychiatry
- Healing Marriage Dallas
- Healing Mind Psychiatry
- Healing Path Hospice Centers of Texas LLC (Unified Care Hospice of Texas)
- Healing Realm Psychiatry Wellness PLLC
- Healing Reimagined Private Practice LLC
- Healing Roots Maternal Alliance
- Healing Touch Physical Therapy, LLC
- Healing Touch Woundcare
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.