PEDIACARE OF TEXAS INC (NPI# 1104840867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104840867 |
| Entity Type | Organization |
| Organization Name | PEDIACARE OF TEXAS INC |
| Other Organization Name | PEDIACARE HOME HEALTH AGENCY |
| Practice Address |
12810 Hillcrest Rd. 209 B Dallas TX 75230 |
| Mailing Address |
12810 Hillcrest Rd 209 B Dallas TX 75230 |
| Practice Telephone | 9725035437 |
| Practice Fax Number | 9724587337 |
| Mailing Telephone | 9725035437 |
| Mailing Fax Number | 9724587337 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2013-05-01 |
| Authorized Official Name | MR. KUNDAN L SHARMA (OWNER) |
| Authorized Official Telephone | 9725035437 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251E00000X | Home Health | 010516 | TX | Agencies |
| Y | 251E00000X | Home Health | TX | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 179921501 | 05 |
| Other Name | Type Code |
|---|---|
| PediaCare Home Health Agency | Doing Business As Name - Organization |
| Street Address |
12810 HILLCREST RD. 209 B |
| City | DALLAS |
| State | TX |
| Zip Code | 75230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912552415 | Kyoto Medical Services, Pllc | Orthopaedic Surgery | 12890 Hillcrest Plaza Drive, Suite K111, Dallas, TX 75230 | 2019-08-02 |
| 1528538170 | Angel Laamber Adams | Nurse Practitioner | 7777 Forest Lane Suite C 833, Dallas, TX 75230 | 2018-11-27 |
| 1538634399 | Tochukwu Chioma Uche-ukah | Nurse Practitioner | Dr Katari, Encompass Health Rehabilitations, 7930 Northaven Rd, Dallas, TX 75230 | 2018-10-09 |
| 1790260958 | Ability Aba, Pllc | Behavioral Analyst | 5930 Royal Lane Ste E, #301, Dallas, TX 75230 | 2018-10-03 |
| 1750887956 | Brandi Nicole Freeman | Behavioral Analyst | 5639 Mcshann Rd, Dallas, TX 75230 | 2018-04-05 |
| 1326547720 | Whitney A Stewart | Psychologist | 5924 Royal Lane, Ste 258, Preston Hollow Health & Wellness, Dallas, TX 75230 | 2018-02-12 |
| 1407384373 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 7859 Walnut Hill Ln Ste 110, Dallas, TX 75230 | 2017-05-23 |
| 1215488648 | The Walker Wellness Clinic | Community/Behavioral Health | 12200 Preston Rd., Dallas, TX 75230 | 2016-10-20 |
| 1578912325 | Renat Kudyakov | Nurse Practitioner | 7777 Forest Ln Ste B-446, Dallas, TX 75230 | 2016-06-11 |
| 1407210982 | Rohan Venugopal Menon | Pediatrics | 7777 Forest Lane, Bldg B 300, Dallas, TX 75230 | 2016-04-11 |
| Find all providers in zip 75230 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790383040 | Zarinda R Williams | Home Health | 6538 S Lancaster Rd, Dallas, TX 75241-3801 | 2020-10-09 |
| 1700490174 | Moye Healthcare | Home Health | 479 Shady Gln, Dallas, GA 30132-0516 | 2020-09-03 |
| 1215549084 | Alys-adele Conglomerate LLC | Home Health | 3319 Santa Teresa Ave, Dallas, TX 75228-3405 | 2020-08-21 |
| 1902415763 | Amedicus Home Health Inc. | Home Health | 9550 Forest Ln Ste 125, Dallas, TX 75243-5964 | 2020-07-28 |
| 1659998433 | Encompass Health Home Health of The Southwest, LLC | Home Health | 6688 N Central Expy Ste 1200, Dallas, TX 75206-3950 | 2020-06-29 |
| 1255957619 | Two Circles Home Health Care, Inc. | Home Health | 1908 Royal Ln Ste 350, Dallas, TX 75229-3128 | 2020-06-22 |
| 1154947034 | Reliable Optimum Services LLC | Home Health | 1068 Merchants Dr Apt 817, Dallas, GA 30132-2978 | 2020-06-17 |
| 1194340067 | Trilogy Health Care Nursing Care Next Door | Home Health | 103 Arbor Creek Way, Dallas, GA 30157-5569 | 2020-06-16 |
| 1861017071 | Zetis Health Services Inc. | Home Health | 5769 Belt Line Rd Apt 708, Dallas, TX 75254-7676 | 2020-06-12 |
| 1013531342 | Texas Care One Home Health LLC | Home Health | 9550 Forest Ln # 226, Dallas, TX 75243-5905 | 2020-06-02 |
| Find all providers in DALLAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.