Organization Active NPI

Home Life Senior Care

  • In Home Supportive Care Agency
  • Allen, TX
National Provider Identifier
1801170949
Registry record updated Oct 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
HOME LIFE SENIOR CARE
Practice address
740 Yellowstone Dr
Allen, TX 75002-3647
Phone
(469) 556-0224
Fax
(469) 656-1502
NPI assigned
Oct 7, 2011
Last updated
Oct 7, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2011

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

Authorized official

Name
Mr. Monte J Freeman
Title
Owner/Administrator
Phone
(469) 556-0224

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

740 Yellowstone Dr
Allen, TX 75002-3647

Mailing address

740 Yellowstone Dr
Allen, TX 75002-3647
Phone (469) 556-0224

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1317945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317945600000",
    "number": "1801170949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 YELLOWSTONE DR",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750023647",
            "telephone_number": "469-556-0224",
            "fax_number": "469-656-1502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 YELLOWSTONE DR",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750023647",
            "telephone_number": "469-556-0224",
            "fax_number": "469-656-1502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME LIFE SENIOR CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-07",
        "last_updated": "2011-10-07",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "MONTE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "469-556-0224",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2011; 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.