Organization Active NPI

Enock Mupoperi

  • Respite Care Camp
  • Dallas, TX
National Provider Identifier
1891036489
Registry record updated May 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite Care CampTaxonomy code 385HR2050X
Legal business name
ENOCK MUPOPERI
Practice address
11555 Ferguson Road Suite 400
Dallas, TX 75228
Phone
(214) 772-7079
NPI assigned
Mar 7, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2021

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

Authorized official

Name
Enock MupoperiNPI 1306426341
Title
Administrator
Phone
(214) 772-7079

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X
Personal Care AttendantGroup: 193200000X MULTI-SPECIALTY GROUP 3747P1801X
Respite Care Camp 385HR2050X Primary

Addresses

Primary practice location

11555 Ferguson Road Suite 400
Dallas, TX 75228

Mailing address

11555 Ferguson Road Suite 400
Dallas, TX 75228
Phone (214) 772-7079

Other names 1

  • Goodcare Home Health Agency Other name

National Provider Directory

National Provider Directory

Locations

1500 Centerville Rd
#400
Dallas, TX 75228

11555 Ferguson Rd
Ste 400
Dallas, TX 75228
Phone (214) 772-7079

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1362614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621555200000",
    "number": "1891036489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11555 FERGUSON ROAD SUITE 400",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75228",
            "telephone_number": "214-772-7079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11555 FERGUSON ROAD SUITE 400",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75228",
            "telephone_number": "214-772-7079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENOCK MUPOPERI",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-07",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-21",
        "status": "A",
        "authorized_official_last_name": "MUPOPERI",
        "authorized_official_first_name": "ENOCK",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "214-772-7079"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2050X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care Camp",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Goodcare Home Health Agency",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; 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.