THE PRUDENT HEALTHCARE AGENCY INC. (NPI# 1104069509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104069509 |
| Entity Type | Organization |
| Organization Name | THE PRUDENT HEALTHCARE AGENCY INC. |
| Practice Address |
2100 N Hwy 360 Suite207b Grand Prairie TX 75050-1011 |
| Practice Telephone | 4699990861 |
| Practice Fax Number | 4699990860 |
| Mailing Telephone | 4699990861 |
| Mailing Fax Number | 4699990860 |
| Enumeration Date | 2009-04-14 |
| Last Update Date | 2016-10-07 |
| Authorized Official Name | MR. MONDDE KELVIN IYAMAH (ADMINISTRATOR) |
| Authorized Official Telephone | 8176633456 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 2130064-01 | 05 |
| Street Address |
2100 N HWY 360 SUITE207B |
| City | GRAND PRAIRIE |
| State | TX |
| Zip Code | 75050-1011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619978863 | East Pointe Pharmacy Services, Inc | Pharmacy | 2100 N Hwy 360, Suite # 1001, Grand Prairie, TX 75050-1009 | 2005-08-09 |
| 1245770080 | Sway 3pl LLC | Eyewear Supplier (Equipment, not the service) | 2100 N Hwy 360, Ste 805, Grand Prairie, TX 75050-1011 | 2017-02-27 |
| 1841650835 | Bendu Norwu Roberts | Day Training, Developmentally Disabled Services | 2100 N Hwy 360, Suite 1105, Grand Prairie, TX 75050-1011 | 2016-03-03 |
| 1487998696 | Onsite Occmed Pa | Clinic/Center | 2100 N Hwy 360, Suite 2201, Grand Prairie, TX 75050-1011 | 2012-11-15 |
| 1740468438 | Thme, Inc. | Durable Medical Equipment & Medical Supplies | 2100 N Hwy 360, 1704, Grand Prairie, TX 75050-1009 | 2008-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225539695 | Christopher Bachman | Physical Therapy Assistant | 2045 Hwy 360, #100b, Grand Prarie, TX 75050 | 2018-02-21 |
| 1003335233 | L & B Group Home LLC | In Home Supportive Care | 605 E Palace Pkwy Ste, B4, Grand Prairie, TX 75050 | 2017-09-19 |
| 1073054748 | Smileeasy Dental Grand Prairie, Pllc | Dentist | 2650 S Hwy 161, Grand Prairie, TX 75050 | 2017-03-15 |
| 1164966651 | Prime Diagnostic Imaging of Irving, LLC | Clinic/Center | 2210 Paddock Way, Grand Prairie, TX 75050 | 2016-12-19 |
| 1366801037 | Monica Simpson | Counselor | 2080 N Hwy 360, Ste 430, Grand Prairie, TX 75050 | 2016-02-23 |
| 1437545845 | Stateserv Medical of Texas | Durable Medical Equipment & Medical Supplies | 1000 Post and Paddock Street, #305, Grand Prairie, TX 75050 | 2015-04-13 |
| 1912304593 | Tenishia Chintankwa | Non-emergency Medical Transport (VAN) | 2403 Doreen St, Grand Prairie, TX 75050 | 2014-11-26 |
| 1780023192 | Holland Surgical Group | Physician Assistant | 201 West Tarrant Rd. #1420, Grand Prairie, TX 75050 | 2013-06-19 |
| 1174962823 | Occumed Plus-grand Prairie | General Practice | 805 W. North Carrier Pkwy, 260, Grand Prairie, TX 75050 | 2013-06-17 |
| 1497099618 | Sorai Susanne S Stuart | Counselor | 2825 N. State Hwy 360, 710, Grand Prairie, TX 75050 | 2012-11-15 |
| Find all providers in zip 75050 | ||||
| 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 |
|---|---|---|---|---|
| 1265032692 | Bless It Hands Residential Care LLC. | Home Health | 2122 Monteleon St, Grand Prairie, TX 75051-4169 | 2020-10-26 |
| 1013524131 | Iocck Healthcare Services, LLC | Home Health | 2875 Grandview Dr, Grand Prairie, TX 75052-8518 | 2020-09-24 |
| 1538775119 | Sirpee LLC | Home Health | 951 Wood Brook Dr, Grand Prairie, TX 75052-8882 | 2020-09-19 |
| 1083228258 | Nef Healthcare Services Inc | Home Health | 3044 Trevino, Grand Prairie, TX 75054-6747 | 2020-09-03 |
| 1720699507 | Divine Grace Home Care Inc | Home Health | 601 S Great Southwest Pkwy Ste 103, Grand Prairie, TX 75051-1057 | 2020-08-13 |
| 1679191779 | Alice Place Home Health Care Services LLC | Home Health | 3333 Willouby Dr, Grand Prairie, TX 75052-6129 | 2020-07-06 |
| 1750907556 | J&i Home Health Care LLC | Home Health | 2107 Matagorda Ln, Grand Prairie, TX 75052-2648 | 2020-06-18 |
| 1720608425 | Tef Anointed Home Health Care Agency LLC | Home Health | 2318 Windchime Dr, Grand Prairie, TX 75051-4215 | 2020-04-22 |
| 1871121749 | Pkloop Healthcare LLC | Home Health | 1051 Kaylie St, Grand Prairie, TX 75052-7152 | 2020-03-27 |
| 1912557141 | Azora Healthcare LLC | Home Health | 2307 Oak Ln Ste 201, Grand Prairie, TX 75051-8286 | 2019-09-19 |
| Find all providers in GRAND PRAIRIE | ||||
| City | GRAND PRAIRIE |
| Zip Code | 75050 |
Please comment or provide details below to improve the information on THE PRUDENT HEALTHCARE AGENCY INC..
| 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.