Organization Active NPI

Dotna Star LLC

  • Home Health Agency
  • Dallas, TX
National Provider Identifier
1902268535
Registry record updated Mar 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
DOTNA STAR LLC
Practice address
17811 Vail St
Apt 20202
Dallas, TX 75287-6460
Phone
(469) 347-0609
NPI assigned
Mar 23, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2016

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

Authorized official

Name
Dorothy Edmund Gross, LVN
Title
Administrator
Phone
(469) 347-0609

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

17811 Vail St
Apt 20202
Dallas, TX 75287-6460

Mailing address

17811 Vail St
Apt 20202
Dallas, TX 75287-6460
Phone (469) 347-0609

Other identifiers 1

IdentifierTypeStateIssuer
802397878MedicaidTX

Other names 1

  • DOTNA HOME CARE AGENCY Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1458691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458691200000",
    "number": "1902268535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17811 VAIL ST",
            "address_2": "APT 20202",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752876460",
            "telephone_number": "469-347-0609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17811 VAIL ST",
            "address_2": "APT 20202",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752876460",
            "telephone_number": "469-347-0609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOTNA STAR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-23",
        "last_updated": "2016-03-23",
        "status": "A",
        "authorized_official_last_name": "GROSS",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_middle_name": "EDMUND",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "469-347-0609",
        "authorized_official_credential": "LVN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "802397878",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DOTNA HOME CARE AGENCY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 23, 2016; 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.