Active NPI
Maurice Simmons, LVN
- Home Health Aide
- Dallas, TX
National Provider Identifier
1942734876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 5008 Holland Ave Apt 16
Dallas, TX 75209-6573 - Phone
- (469) 245-6861
- Fax
- (214) 818-0345
- NPI assigned
- Apr 18, 2017
- Sex
- Male
- 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 Aide | 374U00000X | Primary |
Addresses
Primary practice location
5008 Holland Ave Apt 16
Dallas, TX 75209-6573
Mailing address
5008 Holland Ave Apt 16
Dallas, TX 75209-6573
Phone (469) 245-6861
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492473600000",
"number": "1942734876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5008 HOLLAND AVE APT 16",
"city": "DALLAS",
"state": "TX",
"postal_code": "752096573",
"telephone_number": "469-245-6861",
"fax_number": "214-818-0345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5008 HOLLAND AVE APT 16",
"city": "DALLAS",
"state": "TX",
"postal_code": "752096573",
"telephone_number": "469-245-6861",
"fax_number": "214-818-0345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMMONS",
"first_name": "MAURICE",
"credential": "LVN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-04-18",
"last_updated": "2017-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": true
}
],
"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 Apr 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.