Organization Active NPI

Pediatric Home Healthcare, LLC

  • Home Health Agency
  • Austin, TX
National Provider Identifier
1881199024
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PEDIATRIC HOME HEALTHCARE, LLC
Practice address
8501 N Mopac Expy Ste 430
Austin, TX 78759-8365
Phone
(972) 630-4811
NPI assigned
Mar 29, 2018
Last updated
Jun 21, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
PEDIATRIC HOME HEALTHCARE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 21, 2024

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

Authorized official

Name
Dennis Allen Hosley Jr.
Title
Coo
Phone
(972) 630-4811

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

8501 N Mopac Expy Ste 430
Austin, TX 78759-8365

Mailing address

17950 Preston Rd Ste 370
Dallas, TX 75252-6205
Phone (972) 630-4811

National Provider Directory

National Provider Directory
Tax ID family
Pediatric Home Healthcare9 organizations share this tax ID, including this one
Part of
Pediatric Home Healthcare

Other organizations with this tax ID 8

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

Locations

8501 N Mopac Expy
Ste 410
Austin, TX 78759

8501 N Mopac Expy
Ste 430
Austin, TX 78759
Phone (972) 630-4811

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": "1522281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718928000000",
    "number": "1881199024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17950 PRESTON RD STE 370",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752526205",
            "telephone_number": "972-630-4811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8501 N MOPAC EXPY STE 430",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598365",
            "telephone_number": "972-630-4811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC HOME HEALTHCARE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PEDIATRIC HOME HEALTHCARE, LLC",
        "enumeration_date": "2018-03-29",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A",
        "authorized_official_last_name": "HOSLEY",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "972-630-4811",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.