Chronic Care Partners, LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

CHRONIC CARE PARTNERS, LLC

Practice address

405 State Highway 121 Byp Ste A250
Lewisville, TX 75067-4183

Phone

(903) 744-9053

Fax

(940) 427-7189

NPI assigned

Oct 8, 2019

Organization subpart

No

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

Authorized official

Name

Amanda Mitchell

Title

Administrator

Phone

(903) 744-9053

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

{
    "created_epoch": "1570492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570492800000",
    "number": "1619519964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 STATE HIGHWAY 121 BYP STE A250",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750674183",
            "telephone_number": "903-744-9053",
            "fax_number": "940-427-7189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 STATE HIGHWAY 121 BYP STE A250",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750674183",
            "telephone_number": "903-744-9053",
            "fax_number": "940-427-7189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRONIC CARE PARTNERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-08",
        "last_updated": "2019-10-08",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "903-744-9053"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NP",
            "identifier": "1659848133",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "CHRONICCAREPARTNERS.COM",
            "affiliation": "N",
            "endpointDescription": "CHRONICCAREPARTNERS.COM",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "405 State Highway 121 Byp Ste A250",
            "city": "Lewisville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750674183",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Health Service Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2019; 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.