Active NPI
Calvary Home Health Agency, Inc.
- Home Health Agency
- Dallas, TX
National Provider Identifier
1629285721
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 008066
- Legal business name
- CALVARY HOME HEALTH AGENCY, INC.
- Practice address
- 3198 Royal Lane, Suite 212
Dallas, TX 75229-6918 - Phone
- (214) 654-0720
- Fax
- (214) 654-0722
- NPI assigned
- May 17, 2007
- 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
- Mr. Benjamin Udechukwu
- Title
- Cfo
- Phone
- (214) 654-0720
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 008066 | TX | Primary |
Addresses
Primary practice location
3198 Royal Lane, Suite 212
Dallas, TX 75229-6918
Mailing address
3198 Royal Lane, Suite 212
Dallas, TX 75229-6918
Phone (214) 654-0720
National Provider Directory
National Provider DirectoryLocations
9492 Webb Chapel Rd
Dallas, TX 75220
Phone (214) 654-0720
3198 Royal Ln
Ste 212
Dallas, TX 75229
Phone (214) 654-0720
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1347408000000",
"number": "1629285721",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3198 ROYAL LANE, SUITE 212",
"city": "DALLAS",
"state": "TX",
"postal_code": "752296918",
"telephone_number": "214-654-0720",
"fax_number": "214-654-0722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3198 ROYAL LANE, SUITE 212",
"city": "DALLAS",
"state": "TX",
"postal_code": "752296918",
"telephone_number": "214-654-0720",
"fax_number": "214-654-0722"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CALVARY HOME HEALTH AGENCY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-17",
"last_updated": "2012-09-12",
"status": "A",
"authorized_official_last_name": "UDECHUKWU",
"authorized_official_first_name": "BENJAMIN",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "214-654-0720",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "TX",
"license": "008066",
"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 Sep 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.