Organization Active NPI

SKPK 2000 Group LLC

Doing business as Nurse Next Door Dallas NW

  • Home Health Agency
  • Plano, TX
National Provider Identifier
1952966632
Registry record updated Dec 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SKPK 2000 GROUP LLC
Doing business as
Nurse Next Door Dallas NW
Practice address
5717 Legacy Dr Ste 250
Plano, TX 75024-4246
Phone
(214) 930-3074
NPI assigned
May 7, 2019
Last updated
Dec 1, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2020

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

Authorized official

Name
Kristin Sines
Title
Owner
Phone
(214) 970-0203

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

5717 Legacy Dr Ste 250
Plano, TX 75024-4246

Mailing address

4251 Porosa LN
Prosper, TX 75078-0326
Phone (214) 970-0203

Other practice location 1

4251 Porosa Ln
Prosper, TX 75078-0326
Phone (214) 970-0203

Other identifiers 1

IdentifierTypeStateIssuer
05755627OtherTXSKILLED HOME CARE

Other names 1

  • Nurse Next Door Dallas NW Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Kristin.sines@nursenextdoor.com Direct

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1557187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606780800000",
    "number": "1952966632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4251 POROSA LN",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750780326",
            "telephone_number": "214-970-0203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5717 LEGACY DR STE 250",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750244246",
            "telephone_number": "214-930-3074"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4251 Porosa Ln",
            "address_purpose": "LOCATION",
            "city": "Prosper",
            "state": "TX",
            "postal_code": "750780326",
            "country_code": "US",
            "telephone_number": "214-970-0203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SKPK 2000 GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-07",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A",
        "authorized_official_last_name": "SINES",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-970-0203"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SKILLED HOME CARE",
            "identifier": "05755627",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Kristin.sines@nursenextdoor.com",
            "affiliation": "N",
            "endpointDescription": "Business Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4251 Porosa Ln",
            "city": "Prosper",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750780326",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Nurse Next Door Dallas NW",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; 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.