Dyna Care Home Health - Houston, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

008438 Issued in TX

Legal business name

DYNA CARE HOME HEALTH - HOUSTON, LLC

Practice address

704 N Thompson St
Suite 158
Conroe, TX 77301-2578

Phone

(936) 760-1345

Fax

(936) 760-1370

NPI assigned

Dec 26, 2006

Last updated

Aug 22, 2020By 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

Mr. Abi Turab Boxwalla

Title

Chief Operating Officer

Phone

(708) 560-7200

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770648313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18454 W WEST CREEK DR",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604776273",
            "telephone_number": "708-560-7200",
            "fax_number": "708-560-7350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 N THOMPSON ST",
            "address_2": "SUITE 158",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773012578",
            "telephone_number": "936-760-1345",
            "fax_number": "936-760-1370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNA CARE HOME HEALTH - HOUSTON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOXWALLA",
        "authorized_official_first_name": "ABI",
        "authorized_official_middle_name": "TURAB",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "708-560-7200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "008438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keerthana Joann Duvvuri, DO
• Andrew Dvorak, M.D.
• Stephen C Dwyer, DDS
• William Charles Dwyer, R. PH.
• Deandre Antonio Dyer
• Kelly A Eakins
• Sarah Tritt Eannarelli, FNP
• East Texas Clinical Services (CHI St Lukes Health Neighborhood Pharmacy 2)
• Eastlake Surgical Associates, LLC
• Audrey Anne Eberhardt, LPA

• Home Health Agency in Conroe, TX
• Providers in Conroe, 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 Aug 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.