Active NPI
Trinicare Home Health, Inc
- Home Health Agency
- Richardson, TX
National Provider Identifier
1962464032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 007996
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 007996 | Other | TX | STATE LICENSE NUMBER |
| 67-9214 | Other | TX | PTAN |
Other names 1
- Michelle Home Health
National Provider Directory
National Provider DirectoryLocations
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.