Active NPI
Paloma Home Health Agency Inc.
- Home Health Agency
- Dallas, TX
National Provider Identifier
1992963318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 012184
- Legal business name
- PALOMA HOME HEALTH AGENCY INC.
- Practice address
- 13601 Preston Rd
Suite 225E
Dallas, TX 75240-4911 - Phone
- (972) 346-2013
- Fax
- (972) 853-7085
- NPI assigned
- Jun 2, 2008
- 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
- Mr. Nicodemus Odhiambo Obuya, RN
- Title
- Administrator
- Phone
- (972) 346-2013
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 012184 | TX | Primary |
Addresses
Primary practice location
13601 Preston Rd
Suite 225E
Dallas, TX 75240-4911
Mailing address
PO Box 700694
Dallas, TX 75370-0694
Phone (972) 346-2013
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 012184 | Other | TX | TEXAS STATE LICENSE |
National Provider Directory
National Provider DirectoryLocations
2611 Westgrove Dr
Ste 113
Carrollton, TX 75006
Phone (972) 346-2013
13601 Preston Rd
Ste 225E
Dallas, TX 75240
Phone (972) 346-2013
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212364800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1476316800000",
"number": "1992963318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 700694",
"city": "DALLAS",
"state": "TX",
"postal_code": "753700694",
"telephone_number": "972-346-2013",
"fax_number": "972-853-7085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13601 PRESTON RD",
"address_2": "SUITE 225E",
"city": "DALLAS",
"state": "TX",
"postal_code": "752404911",
"telephone_number": "972-346-2013",
"fax_number": "972-853-7085"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PALOMA HOME HEALTH AGENCY INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-02",
"last_updated": "2016-10-13",
"status": "A",
"authorized_official_last_name": "OBUYA",
"authorized_official_first_name": "NICODEMUS",
"authorized_official_middle_name": "ODHIAMBO",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "972-346-2013",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "TX",
"license": "012184",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS STATE LICENSE",
"identifier": "012184",
"state": "TX"
}
],
"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 Oct 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.