Carisma'S Care Home Health Agency

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

CARISMA'S CARE HOME HEALTH AGENCY

Practice address

4976 Prairie Ranch Dr Apt 122
Grand Prairie, TX 75052-0907

Phone

(214) 429-9577

Fax

(469) 460-9031

NPI assigned

Mar 9, 2021

Organization subpart

No

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

Authorized official

Name

Carisma Jolliff

Title

Owner

Phone

(214) 429-9577

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1615248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615248000000",
    "number": "1922683168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4976 PRAIRIE RANCH DR APT 122",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750520907",
            "telephone_number": "214-429-9577",
            "fax_number": "469-460-9031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4976 PRAIRIE RANCH DR APT 122",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750520907",
            "telephone_number": "214-429-9577",
            "fax_number": "469-460-9031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARISMA'S CARE HOME HEALTH AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-09",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A",
        "authorized_official_last_name": "JOLLIFF",
        "authorized_official_first_name": "CARISMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-429-9577"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.