Active NPI
Freddy Smith
- Home Health Agency
- Rockwall, TX
National Provider Identifier
1659935518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Practice address
- 760 Kensington Dr
Rockwall, TX 75032-6608 - Phone
- (469) 422-4878
- Fax
- (214) 615-9778
- NPI assigned
- Apr 26, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
760 Kensington Dr
Rockwall, TX 75032-6608
Mailing address
760 Kensington Dr
Rockwall, TX 75032-6608
Phone (469) 422-4878
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556236800000",
"number": "1659935518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "760 KENSINGTON DR",
"city": "ROCKWALL",
"state": "TX",
"postal_code": "750326608",
"telephone_number": "469-422-4878",
"fax_number": "214-615-9778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "760 KENSINGTON DR",
"city": "ROCKWALL",
"state": "TX",
"postal_code": "750326608",
"telephone_number": "469-422-4878",
"fax_number": "214-615-9778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "FREDDY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-04-26",
"last_updated": "2019-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockwall, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.