Active NPI
Celestina Ogbolugo
- Personal Care Attendant
- Dallas, TX
National Provider Identifier
1689902868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- Practice address
- 1140 Empire Central Dr.
# 350
Dallas, TX 75247 - Phone
- (469) 757-4217
- Fax
- (972) 745-2390
- NPI assigned
- Nov 25, 2009
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | TX | ||
| Gerontology Nurse Practitioner | 363LG0600X | AP136081 | TX | |
| Personal Care Attendant | 3747P1801X | TX | ||
| Personal Care Attendant | 3747P1801X | Primary |
Addresses
Primary practice location
1140 Empire Central Dr.
# 350
Dallas, TX 75247
Mailing address
1140 Empire Central Dr
# 350
Dallas, TX 75247-4322
Phone (469) 757-4217
Other names 1
- Prestonwood Home Healthcare
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP136081 | TX | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prestonwood Home Health of Fort Worth Inc | Home Health | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Access Home Healthcare Services
- Home Health Agency
- Fort Worth, TX
- NPI 1073713244
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536192000000",
"number": "1689902868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1140 EMPIRE CENTRAL DR",
"address_2": "# 350",
"city": "DALLAS",
"state": "TX",
"postal_code": "752474322",
"telephone_number": "469-757-4217",
"fax_number": "972-745-2390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1140 EMPIRE CENTRAL DR.",
"address_2": "# 350",
"city": "DALLAS",
"state": "TX",
"postal_code": "75247",
"telephone_number": "469-757-4217",
"fax_number": "972-745-2390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OGBOLUGO",
"first_name": "CELESTINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-11-25",
"last_updated": "2018-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "TX",
"license": null,
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "TX",
"license": "AP136081",
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "TX",
"license": null,
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PRESTONWOOD",
"last_name": "HOME HEALTHCARE",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.