Organization Active NPI

Anthem Home Care, Inc.

  • Long-Term Care Clinical Nurse Specialist
  • Lewisville, TX
National Provider Identifier
1750956520
Registry record updated May 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long-Term Care Clinical Nurse SpecialistTaxonomy code 364SL0600X
Legal business name
ANTHEM HOME CARE, INC.
Doing business as
Anthem Home Care, Inc.
Practice address
300 Chester Dr
Lewisville, TX 75056-5859
Phone
(469) 278-1154
Fax
(972) 692-5795
NPI assigned
May 25, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2021

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

Authorized official

Name
Joan Mforta Arrey
Title
Administrator
Phone
(469) 278-1154

Specialties & licenses 12

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WH0200X
Case Management Agency 251B00000X
Home Health Agency 251E00000X
Community Based Hospice Care Agency 251G00000X
Nursing Care Agency 251J00000X
In Home Supportive Care Agency 253Z00000X
Health Service Clinic/Center 261QH0100X
Long-Term Care Clinical Nurse SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 364SL0600X Primary
Attendant Care ProviderGroup: 193200000X MULTI-SPECIALTY GROUP 3747A0650X
Personal Care AttendantGroup: 193200000X MULTI-SPECIALTY GROUP 3747P1801X
Home Health AideGroup: 193200000X MULTI-SPECIALTY GROUP 374U00000X
Respite Care 385H00000X

Addresses

Primary practice location

300 Chester Dr
Lewisville, TX 75056-5859

Mailing address

300 Chester Dr
Lewisville, TX 75056-5859
Phone (469) 278-1154

Other names 1

  • ANTHEM HOME CARE, INC. Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL DESKTOP Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1621900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621900800000",
    "number": "1750956520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 CHESTER DR",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750565859",
            "telephone_number": "469-278-1154",
            "fax_number": "972-692-5795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CHESTER DR",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750565859",
            "telephone_number": "469-278-1154",
            "fax_number": "972-692-5795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHEM HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-25",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A",
        "authorized_official_last_name": "ARREY",
        "authorized_official_first_name": "JOAN",
        "authorized_official_middle_name": "MFORTA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "469-278-1154"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "364SL0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Long-Term Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "DESKTOP",
            "affiliation": "N",
            "endpointDescription": "SECURED BUSINESS DESKTOP",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "300 Chester Dr",
            "city": "Lewisville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750565859",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "ANTHEM HOME CARE, INC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lewisville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; 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.