Organization Active NPI

Ellehcor Christian in-Home Care & Health Aide,LLC

  • Health Maintenance Organization
  • Fort Worth, TX
National Provider Identifier
1699022467
Registry record updated Aug 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
ELLEHCOR CHRISTIAN IN-HOME CARE & HEALTH AIDE,LLC
Practice address
3700 Hardeman St
Fort Worth, TX 76119-3520
Phone
(817) 535-0617
Fax
(817) 535-9987
NPI assigned
Aug 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2012

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

Authorized official

Name
Rochelle Hall
Title
Owner/Ceo
Phone
(817) 535-0617

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X Primary

Addresses

Primary practice location

3700 Hardeman St
Fort Worth, TX 76119-3520

Mailing address

PO Box 15279
Fort Worth, TX 76119-0279
Phone (817) 535-0617

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1344556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344556800000",
    "number": "1699022467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15279",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761190279",
            "telephone_number": "817-535-0617",
            "fax_number": "817-535-9987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 HARDEMAN ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761193520",
            "telephone_number": "817-535-0617",
            "fax_number": "817-535-9987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLEHCOR CHRISTIAN IN-HOME CARE & HEALTH AIDE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-10",
        "last_updated": "2012-08-10",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "ROCHELLE",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "817-535-0617"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2012; 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.