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INTERIM HEALTHCARE OF DALLAS LP NPI 1891744033


NPI Information

NPI: 1891744033
Provider Name: INTERIM HEALTHCARE OF DALLAS LP
Classification: Home Health - 251E00000X
Entity Type: Organization

CLIA Number: 45D2186052

Address:
12750 MERIT DR
SUITE 110
DALLAS, TX
ZIP 75251
Phone: (214) 360-9090
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INTERIM HEALTHCARE OF DALLAS LP is a home health in Dallas, TX. The provider is 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. INTERIM HEALTHCARE OF DALLAS LP NPI is 1891744033. The provider is registered as an organization entity type.

The provider's business location address is:

12750 MERIT DR
SUITE 110
DALLAS, TX
ZIP 75251-214
Phone: (214) 360-9090
Fax: (214) 987-4384

The provider's authorized official is Joseph S Johnson .
The authorized official title is President and has the following contact phone number (918) 749-9933.

The CLIA number assigned to this NPI record is 45D2186052 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/6/2006 and was last updated on 10/3/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251E00000XHome Health7640TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11623449-01MEDICAIDTEXAS
27640OTHERTEXASSTATE LICENCE NUMBER
3679384MEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.