Resident of the Graystone

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

RESIDENT OF THE GRAYSTONE

Practice address

1727 Oak Village Blvd
Arlington, TX 76017

Phone

(682) 305-2290

Fax

(682) 305-2284

NPI assigned

Nov 16, 2015

Last updated

Nov 25, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Tahyahneetah Walker

Title

Ceo/Owner

Phone

(682) 305-2290

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1447632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448409600000",
    "number": "1639543655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 171747",
            "address_2": "346",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "76003",
            "telephone_number": "682-305-2290",
            "fax_number": "682-305-2284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1727 OAK VILLAGE BLVD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "76017",
            "telephone_number": "682-305-2290",
            "fax_number": "682-305-2284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESIDENT OF THE GRAYSTONE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-16",
        "last_updated": "2015-11-25",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "TAHYAHNEETAH",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "682-305-2290",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2015; 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.