Organization Active NPI

Trinicare Home Health, Inc

  • Home Health Agency
  • Richardson, TX
National Provider Identifier
1962464032
Registry record updated Feb 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
007996 Issued in TX
Legal business name
TRINICARE HOME HEALTH, INC
Practice address
1222 E Arapaho Rd
322
Richardson, TX 75081-2478
Phone
(469) 828-1132
Fax
(469) 828-1074
NPI assigned
Apr 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2017

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

Authorized official

Name
Shawna Boudreaux, BS BA
Title
Administrator/Director of Nursing
Phone
(469) 828-1132

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 007996 TX Primary

Addresses

Primary practice location

1222 E Arapaho Rd
322
Richardson, TX 75081-2478

Mailing address

1222 E Arapaho Rd
322
Richardson, TX 75081-2478
Phone (469) 828-1132

Other identifiers 2

IdentifierTypeStateIssuer
007996OtherTXSTATE LICENSE NUMBER
67-9214OtherTXPTAN

Other names 1

  • Michelle Home Health Doing business as

National Provider Directory

National Provider Directory

Locations

13151 Emily Rd
Ste 140
Dallas, TX 75240
Phone 97269981071841

9330 Amberton Pkwy
Ste 1364
Dallas, TX 75243
Phone (972) 699-8107

1222 E Arapaho Rd
Ste 322
Richardson, TX 75081
Phone (469) 828-1132

NPI Registry JSON

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486944000000",
    "number": "1962464032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 E ARAPAHO RD",
            "address_2": "322",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750812478",
            "telephone_number": "469-828-1132",
            "fax_number": "469-828-1074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 E ARAPAHO RD",
            "address_2": "322",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750812478",
            "telephone_number": "469-828-1132",
            "fax_number": "469-828-1074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINICARE HOME HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-04",
        "last_updated": "2017-02-13",
        "status": "A",
        "authorized_official_last_name": "BOUDREAUX",
        "authorized_official_first_name": "SHAWNA",
        "authorized_official_title_or_position": "ADMINISTRATOR/DIRECTOR OF NURSING",
        "authorized_official_telephone_number": "469-828-1132",
        "authorized_official_credential": "BS BA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "007996",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "007996",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "67-9214",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michelle Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.

Verify at the official NPI Registry.