Active NPI
Raydon Mutual Holdings Corporation
- Home Health Agency
- Dallas, TX
National Provider Identifier
1760714638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.