Ca'Chereal Laquet Anderson
Individual provider Active NPI Home Health Agency · Red Oak, TX
NPI 1780329318 · NPPES record last updated Apr 28, 2022
Key facts
- NPI
- 1780329318
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Agency 251E00000X
- Practice address
- 404 Country Ridge LN
Red Oak, TX 75154-3993 - Phone
- (214) 957-2276
- NPI assigned
- Apr 28, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Yes |
Addresses
Primary practice location
404 Country Ridge LN
Red Oak, TX 75154-3993
Mailing address
320 E Wintergreen Rd Apt 21J
Desoto, TX 75115-2475
Phone (214) 957-2276
Other providers in Red Oak, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 28, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.