Organization Active NPI

Raydon Mutual Holdings Corporation

  • Home Health Agency
  • Dallas, TX
National Provider Identifier
1760714638
Registry record updated Feb 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
RAYDON MUTUAL HOLDINGS CORPORATION
Practice address
6212 Samuell Blvd
Ste 111
Dallas, TX 75228-7119
Phone
(972) 765-4440
Fax
(972) 220-9518
NPI assigned
Feb 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2010

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

Authorized official

Name
Mr. Donavan Craig Howard I
Title
Administrator
Phone
(972) 765-4440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

6212 Samuell Blvd
Ste 111
Dallas, TX 75228-7119

Mailing address

6212 Samuell Blvd
Ste 111
Dallas, TX 75228-7119
Phone (972) 765-4440

Other names 1

  • Raydon Home Health Services Doing business as

National Provider Directory

National Provider Directory

Locations

6212 Samuell Blvd
Ste 111
Dallas, TX 75228
Phone (972) 765-4440

NPI Registry JSON

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

{
    "created_epoch": "1265155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265155200000",
    "number": "1760714638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6212 SAMUELL BLVD",
            "address_2": "STE 111",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752287119",
            "telephone_number": "972-765-4440",
            "fax_number": "972-220-9518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6212 SAMUELL BLVD",
            "address_2": "STE 111",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752287119",
            "telephone_number": "972-765-4440",
            "fax_number": "972-220-9518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYDON MUTUAL HOLDINGS CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-03",
        "last_updated": "2010-02-03",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "DONAVAN",
        "authorized_official_middle_name": "CRAIG",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "972-765-4440",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "I"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Raydon Home Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2010; 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.