Organization Active NPI

Kambeline Home Health Care Services, LLC

  • Home Health Agency
  • Richardson, TX
National Provider Identifier
1629094024
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
0094390 Issued in TX
Legal business name
KAMBELINE HOME HEALTH CARE SERVICES, LLC
Practice address
515 Clearwood Dr
Richardson, TX 75081-4808
Phone
(972) 235-0072
Fax
(972) 234-3177
NPI assigned
Jul 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Anna Kambeline Osei-Mould
Title
Owner
Phone
(972) 234-3177

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 0094390 TX Primary

Addresses

Primary practice location

515 Clearwood Dr
Richardson, TX 75081-4808

Mailing address

515 Clearwood Dr
Richardson, TX 75081-4808
Phone (972) 235-0072

Other identifiers 1

IdentifierTypeStateIssuer
0094390OtherTXLICENSE NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629094024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 CLEARWOOD DR",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750814808",
            "telephone_number": "972-235-0072",
            "fax_number": "972-234-3177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 CLEARWOOD DR",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750814808",
            "telephone_number": "972-235-0072",
            "fax_number": "972-234-3177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAMBELINE HOME HEALTH CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OSEI-MOULD",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "KAMBELINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-234-3177",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "0094390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "0094390",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.