AT MY VILLAGE HOME HEALTH CARE (NPI# 1710522982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710522982 |
| Entity Type | Organization |
| Organization Name | AT MY VILLAGE HOME HEALTH CARE |
| Practice Address |
2424 Poinciana Ln Dallas TX 75212 |
| Practice Telephone | 2038199957 |
| Mailing Telephone | 2038199957 |
| Enumeration Date | 2019-11-12 |
| Last Update Date | 2019-11-12 |
| Authorized Official Name | MR. SAMSON DUMISANI MAHLORI (CEO) |
| Authorized Official Telephone | 2038199957 |
| Is Organization Subpart | Y |
| Parent Organization Name | AT MY VILLAGE HOME HEALTH CARE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 374U00000X | Home Health Aide | Nursing Service Related Providers | ||
| N | 376J00000X | Homemaker | Nursing Service Related Providers | ||
| N | 376K00000X | Nurse's Aide | Nursing Service Related Providers | ||
| Y | 372600000X | Adult Companion | Nursing Service Related Providers |
| Street Address |
2424 POINCIANA LN |
| City | DALLAS |
| State | TX |
| Zip Code | 75212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669015327 | Friendly Companion and Homemakers LLC | Home Health Aide | 2424 Poinciana Ln, Dallas, TX 75212 | 2019-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710505698 | Madeline Michele Howell | Speech-Language Pathologist | 2535 Lone Star Drvie, Dallas, TX 75212 | 2020-07-08 |
| 1801455415 | Crystal Rose Arriola | Marriage & Family Therapist | 2200 Dennison Street, Dallas, TX 75212 | 2019-06-07 |
| 1326580341 | Lauren Diaz | Specialist/Technologist | 2614 Jim St, Dallas, TX 75212 | 2016-11-08 |
| 1598160715 | Lw Alf Ops Co, LLC | Assisted Living Facility | 3494 Kingbridge Street, Dallas, TX 75212 | 2014-10-30 |
| 1275941171 | Julius Hamilton IIi | Speech-Language Pathologist | 3030 North Hampton Road, Apt. 4303, Dallas, TX 75212 | 2014-07-24 |
| 1255596532 | Navaneetha Brindha Natchimuthu | Dentist | 2223 Singleton Blvd #212, Dallas, TX 75212 | 2008-07-25 |
| 1538335708 | Nina S. Ray | Dentist | 2223 Singleton Blvd Ste 212, Dallas, TX 75212 | 2008-05-07 |
| 1346468998 | Maureen Rae Nall | Speech-Language Pathologist | 2535 Lone Star Dr., Dallas, TX 75212 | 2007-04-20 |
| 1467571117 | Yeisha Celeste Culp | Physical Therapist | 2535 Lone Star Drive, Dallas, TX 75212 | 2007-03-27 |
| 1861561466 | Joel A Moser | Dentist | 2842 Singleton Blvd, Dallas, TX 75212 | 2006-11-07 |
| Find all providers in zip 75212 | ||||
| Taxonomy Code | 372600000X |
| Grouping | Nursing Service Related Providers |
| Classification | Adult Companion |
| An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407275092 | Jeffrey John Keech | Adult Companion | 1333 Saint Joseph St, Unit 12, Dallas, TX 75204-6507 | 2014-04-10 |
| 1154666014 | Taronica Cna | Adult Companion | 2015 Teagarden Ct, Dallas, TX 75217-8684 | 2012-12-04 |
| 1134464381 | Loida E Gomez | Adult Companion | 3630 Ridgebriar Dr, Dallas, TX 75234-7918 | 2012-11-28 |
| 1700165230 | Southwest Personal Care | Adult Companion | 5619 Belmont Ave Ste 209d, Dallas, TX 75206-6701 | 2011-08-15 |
| 1619283710 | Fon Augustin Tenya | Adult Companion | 2828 Forest Ln Ste 1053, Dallas, TX 75234-7513 | 2010-08-26 |
| 1003091786 | Bshcs Inc | Adult Companion | 3010 Lyndon B Johnson Fwy, 1218b, Dallas, TX 75234-7770 | 2008-01-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922607480 | Lisseth Carolina Bautista | Adult Companion | 25218 Spring Iris Ln, Katy, TX 77494-5580 | 2020-10-25 |
| 1417556689 | Angel's Place | Adult Companion | 909 Highland Dr, Kilgore, TX 75662-4040 | 2020-10-20 |
| 1134733397 | Edna Renee Phillips | Adult Companion | 3352 Jan Ct, Katy, TX 77493-1379 | 2020-09-04 |
| 1396355483 | J Person Inc Dba Living Word Home Care Service | Adult Companion | 1202 Evans Rd Apt 1225, San Antonio, TX 78258-6969 | 2020-08-04 |
| 1841808771 | Kidz Plus Medical Clinic | Adult Companion | 8613 Martin Luther King Blvd, Houston, TX 77033-2307 | 2020-07-16 |
| 1679199806 | Tammy Swan | Adult Companion | 4606 Fm 1960 Rd W Ste 640, Houston, TX 77069-4600 | 2020-06-23 |
| 1942826318 | Lacinder Roseann King | Adult Companion | 1205 Switchgrass Ln, Crowley, TX 76036-4341 | 2020-06-22 |
| 1841815768 | Bridget Danielle Hill | Adult Companion | 2417 Castle Creek Dr, Little Elm, TX 75068-4887 | 2020-06-16 |
| 1811512528 | Marina Martin Del Campo | Adult Companion | 11030 Oasis Dr, El Paso, TX 79936-1023 | 2020-06-09 |
| 1710513239 | Suzanne F Moore | Adult Companion | 5801 Rayburn Dr, Fort Worth, TX 76133-3026 | 2020-03-16 |
| Find all providers with the same taxonomy | ||||
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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.