Active NPI
Gilead Community Home Health Inc
- Community Based Hospice Care Agency
- Dalworthington Gardens, TX
National Provider Identifier
1790282945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- GILEAD COMMUNITY HOME HEALTH INC
- Practice address
- 2104 Roosevelt Dr
Suite M
Dalworthington Gardens, TX 76013-5937 - Phone
- (817) 801-7100
- Fax
- (817) 801-7101
- NPI assigned
- Apr 12, 2018
- 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
- Brent Korte
- Title
- President/Ceo
- Phone
- (913) 579-8741
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
2104 Roosevelt Dr
Suite M
Dalworthington Gardens, TX 76013-5937
Mailing address
2104 Roosevelt Dr Ste M
Dalworthington Gardens, TX 76013-5900
Phone (817) 801-7100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010817 | Other | TX | TEXAS HHSC |
National Provider Directory
National Provider DirectoryLocations
4001 W Green Oaks Blvd
Ste 215
Arlington, TX 76016
Phone (817) 561-7100
2104 Roosevelt Dr
Ste B
Dwg, TX 76013
Phone (817) 801-7100
2104 Roosevelt Dr
Ste P
Dwg, TX 76013
Phone (817) 801-7100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523491200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1679443200000",
"number": "1790282945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2104 ROOSEVELT DR STE M",
"city": "DALWORTHINGTON GARDENS",
"state": "TX",
"postal_code": "760135900",
"telephone_number": "817-801-7100",
"fax_number": "817-801-7101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2104 ROOSEVELT DR",
"address_2": "SUITE M",
"city": "DALWORTHINGTON GARDENS",
"state": "TX",
"postal_code": "760135937",
"telephone_number": "817-801-7100",
"fax_number": "817-801-7101"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GILEAD COMMUNITY HOME HEALTH INC",
"organizational_subpart": "NO",
"enumeration_date": "2018-04-12",
"last_updated": "2023-03-22",
"certification_date": "2023-03-22",
"status": "A",
"authorized_official_last_name": "KORTE",
"authorized_official_first_name": "BRENT",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "913-579-8741"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS HHSC",
"identifier": "010817",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dalworthington Gardens, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.