Organization Active NPI

Paloma Home Health Agency Inc.

  • Home Health Agency
  • Dallas, TX
National Provider Identifier
1992963318
Registry record updated Oct 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
012184 Issued in TX
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

Updated by the provider on Oct 13, 2016

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
012184OtherTXTEXAS STATE LICENSE

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.