Active NPI
Dual D Health Care Operations, Inc
Doing business as Kemp Care Center
- Skilled Nursing Facility
- Kemp, TX
National Provider Identifier
1932160769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 4924
- Legal business name
- DUAL D HEALTH CARE OPERATIONS, INC
- Doing business as
- Kemp Care Center
- Practice address
- 1351 S Elm St
Kemp, TX 75143-7713 - Phone
- (903) 498-8073
- Fax
- (903) 498-8175
- NPI assigned
- Mar 31, 2006
- Last updated
- Mar 27, 2013
- 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
- Shawn Conley
- Title
- C F O
- Phone
- (817) 332-3030
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 4924 | TX | Primary |
Addresses
Primary practice location
1351 S Elm St
Kemp, TX 75143-7713
Mailing address
1415 Ballinger St
Fort Worth, TX 76102-5905
Phone (817) 332-3030
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001000512 | Medicaid | TX |
Other names 1
- Kemp Care Center
National Provider Directory
National Provider DirectoryLocations
1415 Ballinger St
Fort Worth, TX 76102
1351 S Elm St
Kemp, TX 75143
Phone (903) 498-8073
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143763200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1364342400000",
"number": "1932160769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1415 BALLINGER ST",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761025905",
"telephone_number": "817-332-3030",
"fax_number": "817-332-3032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1351 S ELM ST",
"city": "KEMP",
"state": "TX",
"postal_code": "751437713",
"telephone_number": "903-498-8073",
"fax_number": "903-498-8175"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DUAL D HEALTH CARE OPERATIONS, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-31",
"last_updated": "2013-03-27",
"status": "A",
"authorized_official_last_name": "CONLEY",
"authorized_official_first_name": "SHAWN",
"authorized_official_title_or_position": "C F O",
"authorized_official_telephone_number": "817-332-3030"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "TX",
"license": "4924",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001000512",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Kemp Care Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Kemp, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.