Active NPI
Affordable Home Health Care
- Home Health Agency
- Dallas, TX
National Provider Identifier
1871650374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 008557
- Legal business name
- AFFORDABLE HOME HEALTH CARE
- Practice address
- 12115 Self Plaza Dr
Dallas, TX 75218-1469 - Phone
- (463) 774-3750
- NPI assigned
- Jan 3, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Tom Varagheese
- Title
- Ceo
- Phone
- (463) 774-3750
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 008557 | TX | Primary |
Addresses
Primary practice location
12115 Self Plaza Dr
Dallas, TX 75218-1469
Mailing address
2318 Shiloh LN
Mesquite, TX 75181-1690
Phone (463) 774-3750
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008557 | Other | TX | STATE LICENSE |
Other names 1
- victory institute
National Provider Directory
National Provider DirectoryLocations
12115 Self Plaza Dr
Ste 101
Dallas, TX 75218
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213574400000",
"number": "1871650374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2318 SHILOH LN",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751811690",
"telephone_number": "463-774-3750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12115 SELF PLAZA DR",
"city": "DALLAS",
"state": "TX",
"postal_code": "752181469",
"telephone_number": "463-774-3750"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AFFORDABLE HOME HEALTH CARE",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-03",
"last_updated": "2008-06-16",
"status": "A",
"authorized_official_last_name": "VARAGHEESE",
"authorized_official_first_name": "TOM",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "463-774-3750",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "TX",
"license": "008557",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "008557",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "victory institute",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.