Active NPI
Texas Care One Home Health Agency
- Home Health Agency
- Fort Worth, TX
National Provider Identifier
1679933865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 017169
- Legal business name
- TEXAS CARE ONE HOME HEALTH AGENCY
- Practice address
- 913 E Berry St
Suite 109
Fort Worth, TX 76110-4452 - Phone
- (214) 337-9945
- Fax
- (682) 223-9349
- NPI assigned
- Mar 1, 2016
- Organization subpart
- Yes
- Parent organization
- TEXAS CARE ONE HOME HEALTH AGENCY
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Raymond Maziveyi
- Title
- Administrator
- Phone
- (214) 377-9945
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 017169 | TX | Primary |
Addresses
Primary practice location
913 E Berry St
Suite 109
Fort Worth, TX 76110-4452
Mailing address
913 E Berry St
Suite 109
Fort Worth, TX 76110-4452
Phone (214) 377-9945
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 359724701 | Medicaid | TX |
National Provider Directory
National Provider Directory- Part of
- Texas Care One Home Health Agency
Locations
913 E Berry St
Ste 109
Fort Worth, TX 76110
Phone (214) 337-9945
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456790400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1485820800000",
"number": "1679933865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "913 E BERRY ST",
"address_2": "SUITE 109",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761104452",
"telephone_number": "214-377-9945",
"fax_number": "682-223-9349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "913 E BERRY ST",
"address_2": "SUITE 109",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761104452",
"telephone_number": "214-337-9945",
"fax_number": "682-223-9349"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TEXAS CARE ONE HOME HEALTH AGENCY",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "TEXAS CARE ONE HOME HEALTH AGENCY",
"enumeration_date": "2016-03-01",
"last_updated": "2017-01-31",
"status": "A",
"authorized_official_last_name": "MAZIVEYI",
"authorized_official_first_name": "RAYMOND",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "214-377-9945",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "TX",
"license": "017169",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "359724701",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Worth, TX
- Tex-Cal Medical Services, PLLC
- Texacare Urgent Care, PLLC
- Texans Home Health Care Services LLC
- Texas Arthroscopic Surgery Clinic
- Texas Care Center FW NW LLC
- Texas Caregivers Inc
- Texas Center for Urology LLP
- Texas Centers for Infectious Disease Associates PA
- Texas Christian University
- Texas Christian University
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.