Concord Home Health Services, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

008830 Issued in TX

Legal business name

CONCORD HOME HEALTH SERVICES, LLC

Practice address

2305 Oak LN Ste 209
Grand Prairie, TX 75051-8241

Phone

(817) 465-5001

Fax

(817) 465-5002

NPI assigned

Oct 5, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Genny Ronke Thorpe

Title

Administrator

Phone

(817) 465-5001

Specialties & licenses 1

Addresses

Other identifiers 6

Locations

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539302400000",
    "number": "1831285782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 OAK LN STE 209",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750518241",
            "telephone_number": "817-465-5001",
            "fax_number": "817-465-5002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 OAK LN STE 209",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750518241",
            "telephone_number": "817-465-5001",
            "fax_number": "817-465-5002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCORD HOME HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2018-10-12",
        "status": "A",
        "authorized_official_last_name": "THORPE",
        "authorized_official_first_name": "GENNY",
        "authorized_official_middle_name": "RONKE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "817-465-5001",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "008830",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDSA MDCP PROGRAM",
            "identifier": "001025739",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDSA PHC PROGRAM",
            "identifier": "001025738",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHC",
            "identifier": "001013743",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDSA CLASS PROGRAM",
            "identifier": "001025740",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CBA",
            "identifier": "1014156",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164342101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2018; 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.