Organization Active NPI

Healing Pool Home Healthcare Agency

Doing business as Healing Pool

  • Home Health Agency
  • Dallas, TX
National Provider Identifier
1598220477
Registry record updated Jul 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Jul 7, 2020

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

Authorized official

Name
Regina Edamwen Iyawe, RNNPI 1619169752
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1396980132MedicaidTX

Other names 1

  • HEALING POOL Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.