Organization Active NPI

Tef Anointed Home Health Care Agency LLC

  • Home Health Agency
  • Grand Prairie, TX
National Provider Identifier
1720608425
Registry record updated Apr 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
TEF ANOINTED HOME HEALTH CARE AGENCY LLC
Practice address
2318 Windchime Dr
Grand Prairie, TX 75051-4215
Phone
(817) 977-0073
NPI assigned
Apr 22, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2020

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

Authorized official

Name
Jacinta Fonkem
Title
Administrator
Phone
(817) 977-0073

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2318 Windchime Dr
Grand Prairie, TX 75051-4215

Mailing address

2318 Windchime Dr
Grand Prairie, TX 75051-4215
Phone (817) 977-0073

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1587513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587513600000",
    "number": "1720608425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2318 WINDCHIME DR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750514215",
            "telephone_number": "817-977-0073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2318 WINDCHIME DR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750514215",
            "telephone_number": "817-977-0073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEF ANOINTED HOME HEALTH CARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-22",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A",
        "authorized_official_last_name": "FONKEM",
        "authorized_official_first_name": "JACINTA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "817-977-0073"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Prairie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.