Organization Active NPI

Princess Home Health Agency Inc

  • Home Health Agency
  • Rockwall, TX
National Provider Identifier
1679708408
Registry record updated May 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PRINCESS HOME HEALTH AGENCY INC
Practice address
1416 Hickory Creek LN
Rockwall, TX 75032-7334
Phone
(678) 472-0829
Fax
(214) 227-4076
NPI assigned
May 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2009

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

Authorized official

Name
Marshall Mazagwu
Title
Ceo
Phone
(678) 472-0829

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1416 Hickory Creek LN
Rockwall, TX 75032-7334

Mailing address

1416 Hickory Lane
Rockwall, TX 75032-2085
Phone (678) 427-0829

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1242950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242950400000",
    "number": "1679708408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1416 HICKORY LANE",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750322085",
            "telephone_number": "678-427-0829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1416 HICKORY CREEK LN",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750327334",
            "telephone_number": "678-472-0829",
            "fax_number": "214-227-4076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCESS HOME HEALTH AGENCY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-22",
        "last_updated": "2009-05-22",
        "status": "A",
        "authorized_official_last_name": "MAZAGWU",
        "authorized_official_first_name": "MARSHALL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-472-0829"
    },
    "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 May 22, 2009; 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.