KHBW Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

KHBW INC

Doing business as

Legacy Home Health Care

Practice address

518 Branchwood Dr
Lancaster, TX 75146-2134

Phone

(214) 755-0806

Fax

(972) 572-2612

NPI assigned

Nov 6, 2013

Last updated

Aug 12, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

KHBW INCAs reported in NPPES

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

Authorized official

Name

Miss Bridget Williams

Title

Administrator

Phone

(214) 755-0806

Specialties & licenses 2

Addresses

Other names 1

• Legacy Home Health Care Doing business as

Part of

KHBW Inc

Locations

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

{
    "created_epoch": "1383696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597190400000",
    "number": "1710316104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1229 E PLEASANT RUN RD STE 222",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751154214",
            "telephone_number": "214-364-9034",
            "fax_number": "972-227-5087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 BRANCHWOOD DR",
            "city": "LANCASTER",
            "state": "TX",
            "postal_code": "751462134",
            "telephone_number": "214-755-0806",
            "fax_number": "972-572-2612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHBW INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KHBW INC",
        "enumeration_date": "2013-11-06",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "BRIDGET",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "214-755-0806",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Legacy Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Legacy Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dario Kivelevitch, M.D.
• Koda Boy Enterprise
• Mercy Tatang Kuja, NP

• Home Health Agency in Lancaster, TX
• Providers in Lancaster, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.

Verify at the official NPI Registry.