Organization Active NPI

Bush Career Institute

Doing business as Healthcare Careers Institute & Vital Care Clinic

  • Medical Laboratory Technician
  • Duncanville, TX
National Provider Identifier
1790407005
Registry record updated Feb 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Laboratory TechnicianTaxonomy code 246RM2200X
Legal business name
BUSH CAREER INSTITUTE
Doing business as
Healthcare Careers Institute & Vital Care Clinic
Practice address
606 Oriole Blvd Ste 206
Duncanville, TX 75116-3500
Phone
(972) 861-2013
Fax
(214) 889-8499
NPI assigned
Sep 13, 2022
Last updated
Feb 13, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2023

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

Authorized official

Name
Kalethia Bush, LPNNPI 1780328799
Title
Director
Phone
(972) 861-2013

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Laboratory TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 246RM2200X Primary
Primary Care Clinic/Center 261QP2300X

Addresses

Primary practice location

606 Oriole Blvd Ste 206
Duncanville, TX 75116-3500

Mailing address

606 Oriole Blvd Ste 206
Duncanville, TX 75116-3500
Phone (972) 861-2013

Other identifiers 1

IdentifierTypeStateIssuer
1790407005MedicaidTX

Other names 1

  • Healthcare Careers Institute & Vital Care Clinic Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Hci Bush Career Institute

National Provider Directory

National Provider Directory

Locations

211 N Ervay St
Ste 1781
Dallas, TX 75201

606 Oriole Blvd
Ste 206
Duncanville, TX 75116
Phone (469) 759-6251

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1663027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676246400000",
    "number": "1790407005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 ORIOLE BLVD STE 206",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751163500",
            "telephone_number": "972-861-2013",
            "fax_number": "214-889-8499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 ORIOLE BLVD STE 206",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751163500",
            "telephone_number": "972-861-2013",
            "fax_number": "214-889-8499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUSH CAREER INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-13",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A",
        "authorized_official_last_name": "BUSH",
        "authorized_official_first_name": "KALETHIA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "972-861-2013",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "246RM2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Pathology, Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790407005",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Hci",
            "affiliation": "Y",
            "affiliationName": "Bush Career Institute",
            "address_1": "211 N Ervay St Ste 1781",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752013613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Healthcare Careers Institute & Vital Care Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Healthcare Careers Institute & Vital Care Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Duncanville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.

Verify at the official NPI Registry.