Organization Active NPI

Amp, LLC

  • Home Health Agency
  • Richardson, TX
National Provider Identifier
1689062275
Registry record updated Feb 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
AMP, LLC
Practice address
275 W Campbell Rd Ste 255
Richardson, TX 75080-3784
Phone
(469) 827-7500
Fax
(512) 793-9846
NPI assigned
Jan 5, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2022

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

Authorized official

Name
Nicholas Norwood
Title
President
Phone
(817) 455-7476

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Nursing Care Agency 251J00000X

Addresses

Primary practice location

275 W Campbell Rd Ste 255
Richardson, TX 75080-3784

Mailing address

111 W Anderson LN Ste E322
Austin, TX 78752-1146
Phone (512) 532-4800

Other identifiers 1

IdentifierTypeStateIssuer
345177501MedicaidTX

Other names 1

  • Entrusted Pediatric Home Care Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL entrustedphc.com Direct

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2090878Amp, LLC275 W Campbell Rd, Richardson, TX 75080Certificate of waiverFeb 1, 2027

National Provider Directory

National Provider Directory

Locations

205 W Louisiana St
Ste 201
McKinney, TX 75069

275 W Campbell Rd
Ste 255
Richardson, TX 75080
Phone (469) 827-7500

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1420416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644537600000",
    "number": "1689062275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 W ANDERSON LN STE E322",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787521146",
            "telephone_number": "512-532-4800",
            "fax_number": "512-735-2061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 W CAMPBELL RD STE 255",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750803784",
            "telephone_number": "469-827-7500",
            "fax_number": "512-793-9846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-05",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-11",
        "status": "A",
        "authorized_official_last_name": "NORWOOD",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-455-7476"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "345177501",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "entrustedphc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "275 W Campbell Rd Ste 255",
            "city": "Richardson",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750803784",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Entrusted Pediatric Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.