Organization Active NPI

CVS Home Health Agency Inc

  • Home Health Agency
  • Mesquite, TX
National Provider Identifier
1871915975
Registry record updated Jan 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
012255 Issued in TX
Legal business name
CVS HOME HEALTH AGENCY INC
Practice address
3939 US Highway 80 E Ste 254
Mesquite, TX 75150-3371
Phone
(972) 224-6100
Fax
(972) 224-6101
NPI assigned
Jan 9, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2014

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

Authorized official

Name
Mr. Santhosh V Thomas
Title
Director / Cfo
Phone
(972) 224-6100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 012255 TX Primary

Addresses

Primary practice location

3939 US Highway 80 E Ste 254
Mesquite, TX 75150-3371

Mailing address

3939 US Highway 80 E Ste 254
Mesquite, TX 75150-3371
Phone (972) 224-6100

Other identifiers 1

IdentifierTypeStateIssuer
2082869MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1389225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389225600000",
    "number": "1871915975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3939 US HIGHWAY 80 E STE 254",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751503371",
            "telephone_number": "972-224-6100",
            "fax_number": "972-224-6101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 US HIGHWAY 80 E STE 254",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751503371",
            "telephone_number": "972-224-6100",
            "fax_number": "972-224-6101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CVS HOME HEALTH AGENCY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-09",
        "last_updated": "2014-01-09",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "SANTHOSH",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "DIRECTOR / CFO",
        "authorized_official_telephone_number": "972-224-6100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "012255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2082869",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2014; 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.