Organization Active NPI

Calvary Home Health Agency, Inc.

  • Home Health Agency
  • Dallas, TX
National Provider Identifier
1629285721
Registry record updated Sep 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
008066 Issued in TX
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

Updated by the provider on Sep 12, 2012

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.