Organization Active NPI

Gods Extended Hands Homemaker and Companion Service

  • Homemaker
  • Fort Worth, TX
National Provider Identifier
1649946088
Registry record updated Aug 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
HomemakerTaxonomy code 376J00000X
Legal business name
GODS EXTENDED HANDS HOMEMAKER AND COMPANION SERVICE
Practice address
3440 Heatherbend St
Fort Worth, TX 76123-2087
Phone
(181) 735-0153
NPI assigned
Aug 17, 2021
Last updated
Aug 17, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2021

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

Authorized official

Name
Ms. Kyrie Y Moon
Title
Owner
Phone
(817) 350-1532

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Homemaker 376J00000X NU Primary

Addresses

Primary practice location

3440 Heatherbend St
Fort Worth, TX 76123-2087

Mailing address

3440 Heatherbend St
Fort Worth, TX 76123-2087
Phone (181) 735-0153

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1629158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629158400000",
    "number": "1649946088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3440 HEATHERBEND ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761232087",
            "telephone_number": "181-735-0153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3440 HEATHERBEND ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761232087",
            "telephone_number": "181-735-0153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GODS EXTENDED HANDS HOMEMAKER AND COMPANION SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-17",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A",
        "authorized_official_last_name": "MOON",
        "authorized_official_first_name": "KYRIE",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-350-1532",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.