Organization Active NPI

MVP Pediatric Home Health Corp

  • Home Health Agency
  • Tyler, TX
National Provider Identifier
1710453204
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MVP PEDIATRIC HOME HEALTH CORP
Practice address
1650 Holcomb Cir
Tyler, TX 75703-0821
Phone
(903) 508-4848
Fax
(903) 508-4849
NPI assigned
Oct 23, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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

Authorized official

Name
Melanie Leach
Title
Administrator, Cfo, Owner
Phone
(903) 508-4848

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X
Home Health Agency 251E00000X Primary
Nursing Care Agency 251J00000X

Addresses

Primary practice location

1650 Holcomb Cir
Tyler, TX 75703-0821

Mailing address

9952 FM 346 E
Whitehouse, TX 75791-5730
Phone (903) 508-4848

National Provider Directory

National Provider Directory

Locations

9952 FM 346 E
Whitehouse, TX 75791

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": "1540252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705363200000",
    "number": "1710453204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9952 FM 346 E",
            "city": "WHITEHOUSE",
            "state": "TX",
            "postal_code": "757915730",
            "telephone_number": "903-508-4848",
            "fax_number": "903-508-4849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 HOLCOMB CIR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757030821",
            "telephone_number": "903-508-4848",
            "fax_number": "903-508-4849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MVP PEDIATRIC HOME HEALTH CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-23",
        "last_updated": "2024-01-16",
        "certification_date": "2022-03-03",
        "status": "A",
        "authorized_official_last_name": "LEACH",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_title_or_position": "ADMINISTRATOR, CFO, OWNER",
        "authorized_official_telephone_number": "903-508-4848"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; 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.