Mt Zion Home Health Agency LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

011020 Issued in TX

Legal business name

MT ZION HOME HEALTH AGENCY LLC

Practice address

2632 Valencia LN
Denton, TX 76210-2974

Phone

(940) 808-0960

Fax

(940) 808-0962

NPI assigned

Oct 23, 2006

Last updated

Jan 21, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mangenda Kosseh

Title

Administrator

Phone

(940) 808-0960

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453334400000",
    "number": "1740363860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2632 VALENCIA LN",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762102974",
            "telephone_number": "940-808-0960",
            "fax_number": "940-808-0962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2632 VALENCIA LN",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762102974",
            "telephone_number": "940-808-0960",
            "fax_number": "940-808-0962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT ZION HOME HEALTH AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2016-01-21",
        "status": "A",
        "authorized_official_last_name": "KOSSEH",
        "authorized_official_first_name": "MANGENDA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "940-808-0960"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "011020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Denton, TX
• Providers in Denton, 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 Jan 21, 2016; 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.