Individual provider Active NPI

Caroline Nkechi Odoemena

  • Home Health Agency
  • Mansfield, TX
National Provider Identifier
1629096482
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
009037 Issued in TX
Practice address
703 Saint Eric Dr
Mansfield, TX 76063-2868
Phone
(817) 477-2529
NPI assigned
Jul 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 009037 TX Primary

Addresses

Primary practice location

703 Saint Eric Dr
Mansfield, TX 76063-2868

Mailing address

703 Saint Eric Dr
Mansfield, TX 76063-2868
Phone (817) 477-2529

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
009037TXMDHome Health Agency

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629096482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 SAINT ERIC DR",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760632868",
            "telephone_number": "817-477-2529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 SAINT ERIC DR",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760632868",
            "telephone_number": "817-477-2529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODOEMENA",
        "first_name": "CAROLINE",
        "middle_name": "NKECHI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "009037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.