Active NPI
Wings Home Care
- Developmentally Disabled Services Day Training Agency
- Southlake, TX
National Provider Identifier
1689674459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- Legal business name
- WINGS HOME CARE
- Practice address
- 1560 E Southlake Blvd
Southlake, TX 76092-6456 - Phone
- (817) 310-5888
- Fax
- (817) 514-2059
- NPI assigned
- Jul 22, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Glynda J Williams
- Title
- Partner
- Phone
- (817) 310-5888
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | Primary |
Addresses
Primary practice location
1560 E Southlake Blvd
Southlake, TX 76092-6456
Mailing address
PO Box 235
Keller, TX 76244-0235
Phone (817) 310-5888
National Provider Directory
National Provider DirectoryLocations
1560 E Southlake Blvd
Southlake, TX 76092
Phone (817) 301-6493
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121990400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1689674459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 235",
"city": "KELLER",
"state": "TX",
"postal_code": "762440235",
"telephone_number": "817-310-5888",
"fax_number": "817-514-2059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1560 E SOUTHLAKE BLVD",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760926456",
"telephone_number": "817-310-5888",
"fax_number": "817-514-2059"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WINGS HOME CARE",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-22",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "GLYNDA",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "817-310-5888",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southlake, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.