Active NPI
Njuna Haynes
- Community Based Hospice Care Agency
- Grand Prairie, TX
National Provider Identifier
1669034195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- 201700284247
- Practice address
- 2385 Homewood LN
Grand Prairie, TX 75050-7668 - Phone
- (214) 690-2757
- NPI assigned
- Jul 4, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | 201700284247 | TX | Primary |
Addresses
Primary practice location
2385 Homewood LN
Grand Prairie, TX 75050-7668
Mailing address
PO Box 540653
Grand Prairie, TX 75054-0653
Phone (469) 650-2254
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://mail.google.com/mail/u/1/#inbox |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201700284247 | TX | MD | Community Based Hospice Care Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562198400000",
"number": "1669034195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 540653",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "750540653",
"telephone_number": "469-650-2254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2385 HOMEWOOD LN",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "750507668",
"telephone_number": "214-690-2757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYNES",
"first_name": "NJUNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-07-04",
"last_updated": "2019-07-04",
"status": "A"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "TX",
"license": "201700284247",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://mail.google.com/mail/u/1/#inbox",
"affiliation": "N",
"address_1": "2385 Homewood Ln",
"city": "Grand Prairie",
"state": "TX",
"country_code": "US",
"postal_code": "750507668",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Grand Prairie, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 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.