Organization Active NPI

Dual D Health Care Operations, Inc

Doing business as Kemp Care Center

  • Skilled Nursing Facility
  • Kemp, TX
National Provider Identifier
1932160769
Registry record updated Mar 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
4924 Issued in TX
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, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2013

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
001000512MedicaidTX

Other names 1

  • Kemp Care Center Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.