NPIMap

Organization Active NPI

Lucror Health

  • Health Service Clinic/Center
  • Sunnyvale, TX
National Provider Identifier
1629644414
Registry record updated Jun 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
LUCROR HEALTH
Practice address
218 Granite Falls Dr
Sunnyvale, TX 75182-6208
Phone
(678) 642-3843
NPI assigned
Jun 2, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2021

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

Authorized official

Name
Meredith BerrymanNPI 1164015111
Title
Cfo
Phone
(678) 642-3843

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary
Point of Service 305S00000X

Addresses

Primary practice location

218 Granite Falls Dr
Sunnyvale, TX 75182-6208

Mailing address

218 Granite Falls Dr
Sunnyvale, TX 75182-6208
Phone (678) 642-3843

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://lucrorhealth.com Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1622592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622592000000",
    "number": "1629644414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 GRANITE FALLS DR",
            "city": "SUNNYVALE",
            "state": "TX",
            "postal_code": "751826208",
            "telephone_number": "678-642-3843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 GRANITE FALLS DR",
            "city": "SUNNYVALE",
            "state": "TX",
            "postal_code": "751826208",
            "telephone_number": "678-642-3843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCROR HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-02",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A",
        "authorized_official_last_name": "BERRYMAN",
        "authorized_official_first_name": "MEREDITH",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "678-642-3843"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://lucrorhealth.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "direct communication with service providers and patients",
            "address_1": "218 Granite Falls Dr",
            "city": "Sunnyvale",
            "state": "TX",
            "country_code": "US",
            "postal_code": "751826208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sunnyvale, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2021; 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.