Organization Active NPI

St Judes Care Services Inc.

  • Home Health Agency
  • Arlington, TX
National Provider Identifier
1619104288
Registry record updated Sep 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ST JUDES CARE SERVICES INC.
Practice address
2402 Autumn Oaks Trail
Arlington, TX 76006-2789
Phone
(817) 385-4793
Fax
(817) 385-4761
NPI assigned
Jun 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2015

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

Authorized official

Name
Mr. Ginkanwa Udeozoh
Title
President
Phone
(817) 385-4793

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2402 Autumn Oaks Trail
Arlington, TX 76006-2789

Mailing address

2402 Autumn Oaks Trail
Arlington, TX 76006-2789
Phone (817) 385-4793

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1245628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442793600000",
    "number": "1619104288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2402 AUTUMN OAKS TRAIL",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760062789",
            "telephone_number": "817-385-4793",
            "fax_number": "817-385-4761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2402 AUTUMN OAKS TRAIL",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760062789",
            "telephone_number": "817-385-4793",
            "fax_number": "817-385-4761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JUDES CARE SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-22",
        "last_updated": "2015-09-21",
        "status": "A",
        "authorized_official_last_name": "UDEOZOH",
        "authorized_official_first_name": "GINKANWA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-385-4793",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2015; 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.