Organization Active NPI

Maisha Care Agency LLC

  • Home Health Agency
  • Dallas, TX
National Provider Identifier
1902653546
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MAISHA CARE AGENCY LLC
Practice address
628 Annarose Dr
Dallas, TX 75232-3142
Phone
(256) 412-9073
NPI assigned
May 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2024

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

Authorized official

Name
Mrs. Paulah Okombo
Title
Owner
Phone
(256) 412-9073

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X
Home Health Agency 251E00000X Primary
Pediatric Skilled Nursing Facility 3140N1450X

Addresses

Primary practice location

628 Annarose Dr
Dallas, TX 75232-3142

Mailing address

PO Box 763711
Dallas, TX 75376-3711
Phone (256) 412-9073

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1714521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714521600000",
    "number": "1902653546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 763711",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753763711",
            "telephone_number": "256-412-9073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 ANNAROSE DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752323142",
            "telephone_number": "256-412-9073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAISHA CARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-01",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A",
        "authorized_official_last_name": "OKOMBO",
        "authorized_official_first_name": "PAULAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-412-9073",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 1, 2024; 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.