Organization Active NPI

Prime Care Pediatric Services

  • Home Health Agency
  • Garland, TX
National Provider Identifier
1609344233
Registry record updated Nov 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PRIME CARE PEDIATRIC SERVICES
Practice address
1609 Montage Dr
Garland, TX 75040-5540
Phone
(214) 402-1151
NPI assigned
Nov 13, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2018

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

Authorized official

Name
Rachel Ngang
Title
RN
Phone
(214) 402-1151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1609 Montage Dr
Garland, TX 75040-5540

Mailing address

1609 Montage Dr
Garland, TX 75040-5540
Phone (214) 402-1151

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1542067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542067200000",
    "number": "1609344233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1609 MONTAGE DR",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750405540",
            "telephone_number": "214-402-1151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 MONTAGE DR",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750405540",
            "telephone_number": "214-402-1151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME CARE PEDIATRIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-13",
        "last_updated": "2018-11-13",
        "status": "A",
        "authorized_official_last_name": "NGANG",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "RN",
        "authorized_official_telephone_number": "214-402-1151"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2018; 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.