Active NPI
Dotna Star LLC
- Home Health Agency
- Dallas, TX
National Provider Identifier
1902268535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 802397878 | Medicaid | TX |
Other names 1
- DOTNA HOME CARE AGENCY
National Provider Directory
National Provider DirectoryNPI 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.