Active NPI
Martin Graham Enterprise
- Home Health Registered Nurse
- Melissa, TX
National Provider Identifier
1881739019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- 630173
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 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
National Provider Directory
National Provider Directory- Tax ID family
- Martin Graham Enterprises LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Richardson, TX
- NPI 1548480353
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.