Organization Active NPI

Banks Home Health, Inc.

Doing business as Certified Personal Care

  • In Home Supportive Care Agency
  • Fort Worth, TX
National Provider Identifier
1821289455
Registry record updated Jul 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
BANKS HOME HEALTH, INC.
Doing business as
Certified Personal Care
Practice address
3020 SE Loop 820
Fort Worth, TX 76140-1015
Phone
(817) 568-8033
Fax
(817) 568-6882
NPI assigned
Aug 8, 2007
Last updated
Jul 23, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2013

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

Authorized official

Name
Mr. Otto Wyatt Banks
Title
President
Phone
(817) 568-8033

Specialties & licenses 1

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

Addresses

Primary practice location

3020 SE Loop 820
Fort Worth, TX 76140-1015

Mailing address

3020 SE Loop 820
Fort Worth, TX 76140-1015
Phone (817) 568-8033

Other identifiers 1

IdentifierTypeStateIssuer
008607OtherTXTEXAS DEPARTMENT OF AGING AND DISABILITY SERVICES

Other names 1

  • Certified Personal 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": "1186531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374537600000",
    "number": "1821289455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 SE LOOP 820",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761401015",
            "telephone_number": "817-568-8033",
            "fax_number": "817-568-6882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 SE LOOP 820",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761401015",
            "telephone_number": "817-568-8033",
            "fax_number": "817-568-6882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANKS HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-08",
        "last_updated": "2013-07-23",
        "status": "A",
        "authorized_official_last_name": "BANKS",
        "authorized_official_first_name": "OTTO",
        "authorized_official_middle_name": "WYATT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-568-8033",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS DEPARTMENT OF AGING AND DISABILITY SERVICES",
            "identifier": "008607",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Certified Personal Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2013; 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.