IOCCK HEALTHCARE SERVICES, LLC (NPI# 1013524131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013524131 |
| Entity Type | Organization |
| Organization Name | IOCCK HEALTHCARE SERVICES, LLC |
| Practice Address |
2875 Grandview Dr Grand Prairie TX 75052-8518 |
| Practice Telephone | 2149065427 |
| Mailing Telephone | 2149065427 |
| Enumeration Date | 2020-09-24 |
| Last Update Date | 2020-09-24 |
| Authorized Official Name | IFEANYI DURUEWURU (OWNER/MANAGER) |
| Authorized Official Telephone | 2149065427 |
| Authorized Official Credential | FNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251E00000X | Home Health | Agencies | ||
| N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
| N | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities | ||
| N | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities | ||
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Street Address |
2875 GRANDVIEW DR |
| City | GRAND PRAIRIE |
| State | TX |
| Zip Code | 75052-8518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487265542 | Beyond Home Health Care LLC | Registered Nurse | 3531 Pecos Way, Grand Prairie, TX 75052 | 2020-08-12 |
| 1497370332 | Michael Cooper | Dentist | 3154 South Hwy 161 Ste 640, Grand Prairie, TX 75052 | 2020-06-16 |
| 1043835788 | Amanda Azubike | Licensed Practical Nurse | 4593 Mt Laurel Dr, Grand Prairie, TX 75052 | 2020-06-09 |
| 1457992844 | Epic West Family Dnetistry Pllc | Dentist | 3166 Sh 161, Ste 190, Grand Prairie, TX 75052 | 2019-10-07 |
| 1033777487 | National Vision Inc | Optometrist | 3166 South Highway 161, Suite 160, Grand Prairie, TX 75052 | 2019-05-31 |
| 1689136624 | Raushanah Taherrah Shareef-jefferson | Dental Hygienist | 831 Ridgecrest Rd, Grand Prairie, TX 75052 | 2019-04-01 |
| 1053812552 | Dfw Better Care Physicians, Pllc | Clinic/Center | 5204 Tx 360 #400, Grand Prairie, TX 75052 | 2018-02-21 |
| 1629586797 | Grand Prairie Marvel Dental Pllc | Clinic/Center | 5020 S Hwy 360, Suite 200, Grand Prairie, TX 75052 | 2018-01-11 |
| 1033626221 | Thad Taylor Iv Dds | Dentist | 3261 S. Carrier Pkwy., Grand Prairie, TX 75052 | 2018-01-09 |
| 1902312796 | Real Dental Pllc | Dentist | 1215 W. Pioneer Pkwy, Suite 130, Grand Prairie, TX 75052 | 2017-12-16 |
| Find all providers in zip 75052 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326654393 | Peace Health and Wellness Clinic | Clinic/Center | 830 Mayfield Rd Ste 100, Grand Prairie, TX 75052-3728 | 2020-09-16 |
| 1154963163 | Joavia Health Pllc | Clinic/Center | 1038 N Carrier Pkwy, Grand Prairie, TX 75050-3301 | 2019-10-10 |
| 1407330418 | Livingwell Business Group Inc | Clinic/Center | 1106 N Hwy 360 Ste 230, Grand Prairie, TX 75050-2511 | 2018-09-17 |
| 1154833309 | M & M Personal Care Services LLC | Clinic/Center | 2032 Crosbyton Ln, Grand Prairie, TX 75052-8867 | 2017-10-27 |
| 1538400437 | Acclaim Pediatrics | Clinic/Center | 688 W Pioneer Pkwy, Suite 120, Grand Prairie, TX 75051-4809 | 2013-03-04 |
| 1649453457 | James R. Almand Jr Md Professional Medical Center Association | Clinic/Center | 1801 S. Carrier Parkway, Grand Prairie, TX 75051-3702 | 2007-12-14 |
| 1033737416 | Emergentcare2go | Clinic/Center | 929 W Pioneer Pkwy Ste A, Grand Prairie, TX 75051-4726 | 2020-07-11 |
| 1730548769 | Parkland Health & Hospital System | Clinic/Center | 801 Conover Dr, Grand Prairie, TX 75051-1519 | 2016-02-18 |
| 1326004482 | Shepherds Gate Life Changing Center | Clinic/Center | 817 W Pioneer Pkwy, Suite 146b, Grand Prairie, TX 75051-4710 | 2006-04-26 |
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| 1447857255 | Fairgrounds Family Clinic Pllc | Clinic/Center | 4505 Hummingbird Ln N, Harlingen, TX 78552-2422 | 2020-10-05 |
| 1508463605 | Kk Martinez & Associates LLC | Clinic/Center | 13180 Fm 529 Rd Ste A, Houston, TX 77041-2652 | 2020-10-02 |
| 1659987022 | Specialists In Geriatric and Palliative Care Medicine Pllc | Clinic/Center | 8198 Walnut Hill Lane, Jackson Bldg, Suite 100, Dallas, TX 75231 | 2020-09-21 |
| 1518573443 | Elizabeth Danielle Benavides | Clinic/Center | 1424 Tanager Ct, San Antonio, TX 78260-2455 | 2020-09-16 |
| Find all providers with the same taxonomy | ||||
| City | GRAND PRAIRIE |
| Zip Code | 75052 |
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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.