Active NPI
Mary Anne Igboagi
- Home Health Agency
- Irving, TX
National Provider Identifier
1942440185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 011025
- Practice address
- 3304 Chandler CT
Irving, TX 75060-2278 - Phone
- (972) 790-2356
- Fax
- (972) 790-2709
- NPI assigned
- Feb 28, 2009
- Last updated
- Feb 28, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 011025 | TX | Primary |
Addresses
Primary practice location
3304 Chandler CT
Irving, TX 75060-2278
Mailing address
3304 Chandler CT
Irving, TX 75060-2278
Phone (972) 790-2356
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011025 | TX | MD | Home Health Agency |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235779200000",
"number": "1942440185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3304 CHANDLER CT",
"city": "IRVING",
"state": "TX",
"postal_code": "750602278",
"telephone_number": "972-790-2356",
"fax_number": "972-790-2709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3304 CHANDLER CT",
"city": "IRVING",
"state": "TX",
"postal_code": "750602278",
"telephone_number": "972-790-2356",
"fax_number": "972-790-2709"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IGBOAGI",
"first_name": "MARY",
"middle_name": "ANNE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-02-28",
"last_updated": "2009-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "TX",
"license": "011025",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Irving, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.