Active NPI
PHC Home Health Care Agency LLC
- Home Health Agency
- Dallas, TX
National Provider Identifier
1609414036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- PHC HOME HEALTH CARE AGENCY LLC
- Practice address
- 9722 Skillman St
Dallas, TX 75243-5150 - Phone
- (936) 442-8283
- NPI assigned
- Dec 16, 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
- Hazzel Taguta
- Title
- Administrator
- Phone
- (936) 442-8283
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
9722 Skillman St
Dallas, TX 75243-5150
Mailing address
9722 Skillman St
Dallas, TX 75243-5150
Phone (936) 442-8283
National Provider Directory
National Provider DirectoryLocations
9722 Skillman St
Dallas, TX 75243
Phone (936) 442-8283
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Home Health Aide
- Celina, TX
- NPI 1467941807
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576454400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1702512000000",
"number": "1609414036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9722 SKILLMAN ST",
"city": "DALLAS",
"state": "TX",
"postal_code": "752435150",
"telephone_number": "936-442-8283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9722 SKILLMAN ST",
"city": "DALLAS",
"state": "TX",
"postal_code": "752435150",
"telephone_number": "936-442-8283"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHC HOME HEALTH CARE AGENCY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-12-16",
"last_updated": "2023-12-14",
"certification_date": "2023-12-14",
"status": "A",
"authorized_official_last_name": "TAGUTA",
"authorized_official_first_name": "HAZZEL",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "936-442-8283"
},
"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 Dec 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.