Organization Active NPI

Martin Graham Enterprise

  • Home Health Registered Nurse
  • Melissa, TX
National Provider Identifier
1881739019
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
630173 Issued in TX
Legal business name
MARTIN GRAHAM ENTERPRISE
Doing business as
Advanced Senior Care Home Health
Practice address
1100 W Fannin Rd
Melissa, TX 75454-2078
Phone
(972) 838-9200
Fax
(972) 838-9204
NPI assigned
Feb 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Sherry Lynn Martin, RN
Title
Administrator
Phone
(972) 838-9200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WH0200X 630173 TX Primary

Addresses

Primary practice location

1100 W Fannin Rd
Melissa, TX 75454-2078

Mailing address

1100 W Fannin Rd
Melissa, TX 75454-2078
Phone (972) 838-9200

Other names 1

  • Advanced Senior Care Home Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Martin Graham Enterprises LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881739019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 W FANNIN RD",
            "city": "MELISSA",
            "state": "TX",
            "postal_code": "754542078",
            "telephone_number": "972-838-9200",
            "fax_number": "972-838-9204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 W FANNIN RD",
            "city": "MELISSA",
            "state": "TX",
            "postal_code": "754542078",
            "telephone_number": "972-838-9200",
            "fax_number": "972-838-9204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN GRAHAM ENTERPRISE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "972-838-9200",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": "TX",
            "license": "630173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Senior Care Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Melissa, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.