Organization Active NPI

Hazel'S Home Care LLC

  • Health Maintenance Organization
  • Dallas, TX
National Provider Identifier
1659435683
Registry record updated Oct 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
114571 Issued in TX
Legal business name
HAZEL'S HOME CARE LLC
Practice address
533 Highfall Dr
Dallas, TX 75232-3609
Phone
(214) 372-2054
Fax
(214) 374-7721
NPI assigned
Dec 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2011

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

Authorized official

Name
Mrs. Hazel Grady
Title
Administrator
Phone
(214) 372-2054

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 114571 TX Primary

Addresses

Primary practice location

533 Highfall Dr
Dallas, TX 75232-3609

Mailing address

533 Highfall Dr
Dallas, TX 75232-3609
Phone (214) 372-2054

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317686400000",
    "number": "1659435683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 HIGHFALL DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752323609",
            "telephone_number": "214-372-2054",
            "fax_number": "214-374-7721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 HIGHFALL DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752323609",
            "telephone_number": "214-372-2054",
            "fax_number": "214-374-7721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAZEL'S HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2011-10-04",
        "status": "A",
        "authorized_official_last_name": "GRADY",
        "authorized_official_first_name": "HAZEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "214-372-2054",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "TX",
            "license": "114571",
            "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 Oct 4, 2011; 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.