The Waterbird Corporation

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

012909 Issued in TX

Legal business name

THE WATERBIRD CORPORATION

Practice address

3624 Long Prairie Rd
Suite 208
Flower Mound, TX 75022-2954

Phone

(972) 691-8139

Fax

(972) 691-8071

NPI assigned

Apr 19, 2010

Organization subpart

No

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

Authorized official

Name

Scott Herron

Title

President

Phone

(972) 691-8139

Specialties & licenses 1

Addresses

Other names 1

• Synergy HomeCare of DFW Doing business as

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

{
    "created_epoch": "1271635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271635200000",
    "number": "1992021778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 LAKE FLOWER DR",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750224380",
            "telephone_number": "972-691-8139",
            "fax_number": "972-691-8071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3624 LONG PRAIRIE RD",
            "address_2": "SUITE 208",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750222954",
            "telephone_number": "972-691-8139",
            "fax_number": "972-691-8071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WATERBIRD CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-19",
        "last_updated": "2010-04-19",
        "status": "A",
        "authorized_official_last_name": "HERRON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-691-8139"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "TX",
            "license": "012909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Synergy HomeCare of DFW",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jolson Korah Tharakan, MD
• The Asperger Shop
• The Burnley Clinic
• The Healthy Place LLC
• The Vein Clinic of Dallas LLC
• Therapy Time Home Care LLC
• Thermotek Inc
• John Michael Therwhanger, MD
• Thomas Tenney DMD, LTD.
• Dane Stephen Thomas, P.A.

• In Home Supportive Care Agency in Flower Mound, TX
• Providers in Flower Mound, TX by specialty
• In Home Supportive Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2010; 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.