Organization Active NPI

Pegasus Home Care Inc

  • Home Health Agency
  • Lubbock, TX
National Provider Identifier
1801950076
Registry record updated Nov 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
013601 Issued in TX
Legal business name
PEGASUS HOME CARE INC
Practice address
2302 34TH St
Lubbock, TX 79411-1634
Phone
(806) 784-0033
Fax
(806) 784-0603
NPI assigned
Dec 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2011

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

Authorized official

Name
Mrs. Annette Scarborough, RN, BSN
Title
Administrator
Phone
(806) 784-0033

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 013601 TX Primary

Addresses

Primary practice location

2302 34TH St
Lubbock, TX 79411-1634

Mailing address

2302 34TH St
Lubbock, TX 79411-1634
Phone (806) 784-0033

Other identifiers 1

IdentifierTypeStateIssuer
HH8155OtherTXBCBS PROVIDER NUMBER

Other names 1

  • PHOENIX HEALTH CARE Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322524800000",
    "number": "1801950076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2302 34TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794111634",
            "telephone_number": "806-784-0033",
            "fax_number": "806-784-0603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2302 34TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794111634",
            "telephone_number": "806-784-0033",
            "fax_number": "806-784-0603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEGASUS HOME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2011-11-29",
        "status": "A",
        "authorized_official_last_name": "SCARBOROUGH",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "806-784-0033",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "013601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "HH8155",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHOENIX HEALTH CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.