DFW MEDICAL HOME PLLC (NPI# 1124441423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124441423 |
| Entity Type | Organization |
| Organization Name | DFW MEDICAL HOME PLLC |
| Other Organization Name | TEXAS PHYSICIAN HOUSE CALLS PLLC |
| Practice Address |
2925 Skyway Cir N Irving TX 75038-3510 |
| Practice Telephone | 9726757313 |
| Practice Fax Number | 9726757310 |
| Mailing Telephone | 9726757313 |
| Mailing Fax Number | 9726757310 |
| Enumeration Date | 2014-01-23 |
| Last Update Date | 2020-02-04 |
| Authorized Official Name | DR. SUMANA KETHA (OWNER) |
| Authorized Official Telephone | 9726395838 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Texas Physician House Calls PLLC | Doing Business As Name - Organization |
| Street Address |
2925 SKYWAY CIR N |
| City | IRVING |
| State | TX |
| Zip Code | 75038-3510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962447805 | Sumana Ketha | Internal Medicine | 2925 Skyway Cir N, Irving, TX 75038-3510 | 2006-06-17 |
| 1962027680 | American Imports & Exports LLC | Durable Medical Equipment & Medical Supplies | 2925 Skyway Cir N, Irving, TX 75038-3510 | 2020-06-09 |
| 1114494416 | Hospice Services Inc | Hospice Care, Community Based | 2925 Skyway Cir N, Irving, TX 75038-3510 | 2018-10-25 |
| 1316458235 | Shecarra Cook | Nurse Practitioner | 2925 Skyway Cir N, Irving, TX 75038-3510 | 2017-10-18 |
| 1164932778 | Rebecca Mabel Haggen | Nurse Practitioner | 2925 Skyway Cir N, Irving, TX 75038-3510 | 2017-10-09 |
| 1730571480 | Gabriel Eleda | Nurse Practitioner | 2925 Skyway Cir N, Irving, TX 75038-3510 | 2015-03-03 |
| 1679978068 | Barbie Lane | Nurse Practitioner | 2925 Skyway Cir N, Irving, TX 75038-3510 | 2014-10-28 |
| 1063835361 | Dfw Primary Care Pllc | In Home Supportive Care | 2925 Skyway Cir N, Irving, TX 75038-3510 | 2014-01-23 |
| 1356565865 | Sumana Ketha, Md Pa | Internal Medicine | 2925 Skyway Cir N, Irving, TX 75038-3510 | 2007-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457959587 | S&w Primary Home Care | Home Health | 3921 Timberidge Drive, Irving, TX 75038 | 2020-10-12 |
| 1295372928 | Wecare Tlc | Clinic/Center | 777 Hidden Ridge, Irving, TX 75038 | 2019-12-02 |
| 1407369135 | North Texas Psychiatry Associates Pllc | Psychiatry & Neurology | 4020 N. Macarthur Blvd, Suite 122 - 153, Irving, TX 75038 | 2017-11-16 |
| 1164970745 | Young Men's Christian Association of Metropolitan Dallas | Health Educator | 1621 W Walnut Hill Ln, Irving, TX 75038 | 2016-09-13 |
| 1285086397 | Edge-md Holding Pllc | Family Medicine | 1200 W. Walnut Hill Lane, Suite 3950, Irving, TX 75038 | 2016-07-13 |
| 1912318445 | Alliance Neurodiagnostics, LLC | Clinic/Center | 4545 Fuller Dr Ste 200, Irving, TX 75038 | 2014-05-19 |
| 1790029841 | Paul Dean Allen | Counselor | 5525 N. Macarthur Blvd, Suite 800, Mhn Government Services, Irving, TX 75038 | 2012-11-15 |
| 1437403227 | Dashwood Pharmacy | Pharmacy | 1300 W. Walnut Hill Lane, Suite 163, Irving, TX 75038 | 2012-11-01 |
| 1265795538 | Michael Fooshee | Dentist | 3007 Skyway Circle North, Suite 100, Irving, TX 75038 | 2012-06-20 |
| 1205107273 | Sylviane Akenda Kasende | Nurse Practitioner | 2925 Skyway Circle N, Irving, TX 75038 | 2012-01-23 |
| Find all providers in zip 75038 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659894574 | Esperanza Hcs, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1300 Limetree Ln Apt 140, Irving, TX 75061-4641 | 2017-07-23 |
| 1952739195 | Royal Mayflower Incorporation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4737 N. O'connor Rd, 1071, Irving, TX 75062-2745 | 2013-10-25 |
| 1447593512 | Larry D Roper | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2508 Yorkshire St, Irving, TX 75061-6758 | 2013-03-27 |
| 1184918468 | Beverly Mayfield | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1224 S Rogers Rd Apt 1224, Irving, TX 75060-3765 | 2011-06-04 |
| 1467697854 | Caroline Smith | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2627 W Walnut Hill Ln, Irving, TX 75038-7339 | 2008-12-13 |
| 1205395878 | Always Home Alternative To Nursing Facility Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 325 S Belt Line Rd, Irving, TX 75060-2105 | 2019-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750980686 | Mimshack Care Homes LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 12330 Springcrest Dr, Houston, TX 77072-3219 | 2020-10-21 |
| 1679172936 | Re-care Incorporated | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 200 University Blvd Ste 225-374, Round Rock, TX 78665-1001 | 2020-10-19 |
| 1407454176 | Viandsa Care Home LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 17203 Quiet Song Ct, Richmond, TX 77407-2964 | 2020-10-14 |
| 1053919050 | Building Bridges In Healthcare LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2007 Liberty Cove Ct, Richmond, TX 77469-2338 | 2020-10-12 |
| 1497353635 | Helping Hearts Residential Care, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 20319 Bridge Manor Ln, Richmond, TX 77407-6494 | 2020-10-10 |
| 1750989067 | Able Wisdom Services Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2203 Huntington Dr, Wylie, TX 75098-7164 | 2020-10-09 |
| 1518573609 | Jbk House of Care LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2624 Grand Gulf Rd, Fort Worth, TX 76123-2613 | 2020-09-23 |
| 1700492352 | St Monica Healthcare Services Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11311 Scottsdale Dr, Meadows Place, TX 77477-1811 | 2020-09-18 |
| 1265047534 | Compassion Structured Living Center LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 13578 San Martin Ln, Houston, TX 77083-5135 | 2020-09-13 |
| 1497369474 | Nexphase Healthcare LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1201 N Watson Rd Ste 205, Arlington, TX 76006-6120 | 2020-09-07 |
| 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.