Organization Active NPI

Calvary Care Group, Inc.

Doing business as Calvary Home Care

  • Home Health Agency
  • Bellville, TX
National Provider Identifier
1871783357
Registry record updated Apr 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
010859 Issued in TX
Legal business name
CALVARY CARE GROUP, INC.
Doing business as
Calvary Home Care
Practice address
1432 South Front
Bellville, TX 77418
Phone
(979) 645-0336
Fax
(281) 256-8574
NPI assigned
Jul 31, 2007
Last updated
Apr 1, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2008

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

Authorized official

Name
Olubunmi Tabitha Adeniran, RN
Title
Administrator
Phone
(979) 645-0336

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 010859 TX Primary

Addresses

Primary practice location

1432 South Front
Bellville, TX 77418

Mailing address

16227 Cypress Trace Dr
Cypress, TX 77429-1679
Phone (979) 645-0336

Other names 1

  • Calvary Home Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Calvary Care Group Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207008000000",
    "number": "1871783357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16227 CYPRESS TRACE DR",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774291679",
            "telephone_number": "979-645-0336",
            "fax_number": "281-256-8574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1432 SOUTH FRONT",
            "city": "BELLVILLE",
            "state": "TX",
            "postal_code": "77418",
            "telephone_number": "979-645-0336",
            "fax_number": "281-256-8574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALVARY CARE GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-31",
        "last_updated": "2008-04-01",
        "status": "A",
        "authorized_official_last_name": "ADENIRAN",
        "authorized_official_first_name": "OLUBUNMI",
        "authorized_official_middle_name": "TABITHA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "979-645-0336",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "010859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Calvary Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bellville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.

Verify at the official NPI Registry.