Organization Active NPI

Mym Home Healthcare

  • In Home Supportive Care Agency
  • Waco, TX
National Provider Identifier
1871240911
Registry record updated Mar 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
MYM HOME HEALTHCARE
Practice address
2824 Mount Carmel Dr
Waco, TX 76710-1289
Phone
(817) 487-3264
NPI assigned
Mar 8, 2022
Last updated
Mar 8, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2022

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

Authorized official

Name
Rayveon WashingtonNPI 1538816673
Title
Owner
Phone
(817) 487-3264

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU
Home Health Agency 251E00000X NU
Respite Care 385H00000X NU
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

2824 Mount Carmel Dr
Waco, TX 76710-1289

Mailing address

2824 Mount Carmel Dr
Waco, TX 76710-1289
Phone (817) 487-3264

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL rayveon@mymhomehealthcare.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1646697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646697600000",
    "number": "1871240911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2824 MOUNT CARMEL DR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767101289",
            "telephone_number": "817-487-3264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2824 MOUNT CARMEL DR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767101289",
            "telephone_number": "817-487-3264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYM HOME HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-08",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A",
        "authorized_official_last_name": "WASHINGTON",
        "authorized_official_first_name": "RAYVEON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-487-3264"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "rayveon@mymhomehealthcare.com",
            "affiliation": "N",
            "endpointDescription": "Intake Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2824 Mount Carmel Dr",
            "city": "Waco",
            "state": "TX",
            "country_code": "US",
            "postal_code": "767101289",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2022; 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.