Stonecrest Medical and Rehab. Center, Dba Classic Homehealth Agency

Primary specialty

Chore ProviderTaxonomy code 372500000X

License

010430 Issued in TX

Legal business name

STONECREST MEDICAL AND REHAB. CENTER, DBA CLASSIC HOMEHEALTH AGENCY

Practice address

405 Summertree LN
Desoto, TX 75115-5840

Phone

(972) 274-1205

Fax

(469) 643-6404

NPI assigned

Jul 19, 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

Jade U Irondi

Title

Alt Administrator/Cfo

Phone

(972) 274-1205

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790704989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 SUMMERTREE LN",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751155840",
            "telephone_number": "972-274-1205",
            "fax_number": "469-643-6404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 SUMMERTREE LN",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751155840",
            "telephone_number": "972-274-1205",
            "fax_number": "469-643-6404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONECREST MEDICAL AND REHAB. CENTER, DBA CLASSIC HOMEHEALTH AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "IRONDI",
        "authorized_official_first_name": "JADE",
        "authorized_official_middle_name": "U",
        "authorized_official_title_or_position": "ALT ADMINISTRATOR/CFO",
        "authorized_official_telephone_number": "972-274-1205"
    },
    "taxonomies": [
        {
            "code": "372500000X",
            "taxonomy_group": "",
            "desc": "Chore Provider",
            "state": "TX",
            "license": "010430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stewart Battle Safe Haven
• Jon Anthony Stien, PA-C
• Bina Stitt
• Timyra Rashaunda Stocker, RN
• Julie S Stone, M.A.
• Rachel Stotts
• Taisyn Shalene Stovall
• Melanie Latrice Strickland-Rufus, RPH
• Stringfellow & Associates (Health Care Options For You)
• Stringfellow & Associates

• Chore Provider in Desoto, TX
• Providers in Desoto, TX by specialty
• Chore Provider 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.