Hero Clinical Labatory LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

HERO CLINICAL LABATORY LLC

Doing business as

Hero Home Health Care

Practice address

2125 Birch BND
Mesquite, TX 75181-1837

Phone

(214) 283-4573

NPI assigned

Apr 12, 2024

Last updated

Sep 26, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nicole Pennegraph, MEDICAL ASSISTANT

Title

Administrator

Phone

(945) 536-1396

Specialties & licenses 5

Addresses

Other names 1

• HERO HOME HEALTH CARE Doing business as

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

{
    "created_epoch": "1712880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727308800000",
    "number": "1871347252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 BIRCH BND",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751811837",
            "telephone_number": "214-283-4573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 BIRCH BND",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751811837",
            "telephone_number": "214-283-4573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERO CLINICAL LABATORY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-12",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A",
        "authorized_official_last_name": "PENNEGRAPH",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "945-536-1396",
        "authorized_official_credential": "MEDICAL ASSISTANT"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HERO HOME HEALTH CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Tracy Jennifer Hernandez, M.D.
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• Karis P Hessert, DPT, PT
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• Pamela Rochelle Hickey
• Lisa Kim Hickman

• Home Health Agency in Mesquite, TX
• Providers in Mesquite, 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 Sep 26, 2024; 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.