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Organization Active NPI

Texas Kids Home Therapy Professional Limited Liability Company

Doing business as Texas Kids Home Theray and Nursing Professional Limited Liability Comp

  • Home Health Agency
  • Boerne, TX
National Provider Identifier
1790065845
Registry record updated Mar 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
TEXAS KIDS HOME THERAPY PROFESSIONAL LIMITED LIABILITY COMPANY
Doing business as
Texas Kids Home Theray and Nursing Professional Limited Liability Comp
Practice address
7 Upper Balcones Rd
Boerne, TX 78006-8546
Phone
(210) 360-1662
Fax
(210) 568-2228
NPI assigned
Aug 21, 2011
Last updated
Mar 9, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2017

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

Authorized official

Name
Mrs. Dershie Bridgford Kurtz, PT
Title
Alternate Administrator
Phone
(210) 274-6676

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Nursing Care Agency 251J00000X 014370 TX
Personal Care AttendantGroup: 193200000X MULTI-SPECIALTY GROUP 3747P1801X 014370 TX
Respite Care 385H00000X 014370 TX

Addresses

Primary practice location

7 Upper Balcones Rd
Boerne, TX 78006-8546

Mailing address

555 Prado Xing
Boerne, TX 78006-8260
Phone (210) 360-1662

Other names 1

  • Texas Kids Home Theray and Nursing Professional Limited Liability Comp Doing business as

National Provider Directory

National Provider Directory

Locations

7 Upper Balcones Rd
Boerne, TX 78006
Phone (210) 360-1662

Practitioners & affiliated clinicians

Practitioners 123

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 123

NPI Registry JSON

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

{
    "created_epoch": "1313884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489017600000",
    "number": "1790065845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 PRADO XING",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780068260",
            "telephone_number": "210-360-1662",
            "fax_number": "210-568-2228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 UPPER BALCONES RD",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780068546",
            "telephone_number": "210-360-1662",
            "fax_number": "210-568-2228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS KIDS HOME THERAPY PROFESSIONAL LIMITED LIABILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-21",
        "last_updated": "2017-03-09",
        "status": "A",
        "authorized_official_last_name": "KURTZ",
        "authorized_official_first_name": "DERSHIE",
        "authorized_official_middle_name": "BRIDGFORD",
        "authorized_official_title_or_position": "ALTERNATE ADMINISTRATOR",
        "authorized_official_telephone_number": "210-274-6676",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "TX",
            "license": "014370",
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": "TX",
            "license": "014370",
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "TX",
            "license": "014370",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texas Kids Home Theray and Nursing Professional Limited Liability Comp",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boerne, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2017; 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.