Pkloop Healthcare LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PKLOOP HEALTHCARE LLC

Doing business as

Pkloop Healthcare

Practice address

1051 Kaylie St
Grand Prairie, TX 75052-7152

Phone

(316) 993-6862

NPI assigned

Mar 27, 2020

Organization subpart

No

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

Authorized official

Name

Ngenyi Christie Nwelatow

Title

Ceo

Phone

(316) 993-6862

Specialties & licenses 1

Addresses

Other names 1

• PKLOOP HEALTHCARE Doing business as

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

{
    "created_epoch": "1585267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585267200000",
    "number": "1871121749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 KAYLIE ST",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750527152",
            "telephone_number": "316-993-6862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 KAYLIE ST",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750527152",
            "telephone_number": "316-993-6862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PKLOOP HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-27",
        "last_updated": "2020-03-27",
        "certification_date": "2020-03-27",
        "status": "A",
        "authorized_official_last_name": "NWELATOW",
        "authorized_official_first_name": "NGENYI",
        "authorized_official_middle_name": "CHRISTIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "316-993-6862"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PKLOOP HEALTHCARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.