At My Village Home Health Care

Primary specialty

Adult CompanionTaxonomy code 372600000X

Legal business name

AT MY VILLAGE HOME HEALTH CARE

Practice address

2424 Poinciana LN
Dallas, TX 75212

Phone

(203) 819-9957

NPI assigned

Nov 12, 2019

Organization subpart

Yes

Parent organization

AT MY VILLAGE HOME HEALTH CAREAs reported in NPPES

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

Authorized official

Name

Mr. Samson Dumisani Mahlori

Title

Ceo

Phone

(203) 819-9957

Specialties & licenses 4

Addresses

Part of

At My Village Home Health Care

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

{
    "created_epoch": "1573516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573516800000",
    "number": "1710522982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2424 POINCIANA LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75212",
            "telephone_number": "203-819-9957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 POINCIANA LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75212",
            "telephone_number": "203-819-9957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AT MY VILLAGE HOME HEALTH CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AT MY VILLAGE HOME HEALTH CARE",
        "enumeration_date": "2019-11-12",
        "last_updated": "2019-11-12",
        "status": "A",
        "authorized_official_last_name": "MAHLORI",
        "authorized_official_first_name": "SAMSON",
        "authorized_official_middle_name": "DUMISANI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "203-819-9957",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Companion in Dallas, TX
• Providers in Dallas, TX by specialty
• Adult Companion in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2019; 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.