AT HOME PRIMARY CARE DOCTOR
NPI 1053194936
Nurse Practitioner - Family in Cedar Hill, TX

NPI Status: Active since August 15, 2023

Contact Information

630 N HIGHWAY 67
CEDAR HILL, TX
ZIP 75104
Phone: (214) 714-4541

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  • Organization
  • Nurse Practitioner
  • Family
  • CLIA Number: 45D2295114
  • CLIA Cert. Type: Practitioner Other
  • CLIA Exp. Date: 12-04-2025

About AT HOME PRIMARY CARE DOCTOR

This page provides the complete NPI Profile along with additional information for At Home Primary Care Doctor, a provider established in Cedar Hill, Texas operating as a Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1053194936 assigned on August 2023. The practitioner's primary taxonomy code is 363LF0000X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Randibella T Achere Dnp, Fnp-c (Founder)

NPI
1053194936
Provider Name
AT HOME PRIMARY CARE DOCTOR
Entity Type
Organization
Location Address
630 N HIGHWAY 67 CEDAR HILL, TX 75104
Location Phone
(214) 714-4541
Mailing Address
8417 RUSSELL DR ROWLETT, TX 75089
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-15-2023
Last Update Date
08-22-2024
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A nurse practitioner (NP) like At Home Primary Care Doctor is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Family

Taxonomy Code
363LF0000X
Type
Physician Assistants & Advanced Practice Nursing Providers

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

RANDIBELLA T ACHERE DNP, FNP-C

Authorized Official Title
FOUNDER
Authorized Official Phone
(469) 745-4472

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
45D2295114
Facility Type
Practitioner Other
Certificate Effective Date
December 05, 2023
Certificate Expiration Date
December 04, 2025
Laboratory Director
ACHERE T. RANDIBELLA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to At Home Primary Care Doctor to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for AT HOME PRIMARY CARE DOCTOR

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1053194936
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2010329896
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 0 + 3 + 2 + 9 + 8 + 9 + 6 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1053194936 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1184878019NO PAIN CHIROPRACTIC
Organization
Chiropractor (Nutrition)630 N HIGHWAY 67 STE. 7
CEDAR HILL, TX 75104
(972) 291-3466
1871980169MY HOME DFW MSO LLC
Organization
Case Management630 N HIGHWAY 67
CEDAR HILL, TX 75104
(214) 339-2221
1558600767CEDAR HILL PSYCHOLOGICAL SERVICES, PLLC
Organization
Community/Behavioral Health630 N HIGHWAY 67
CEDAR HILL, TX 75104
(972) 291-1001
1992099428DR. JOYCE ANNETTE PHILLIPS PSY.D.
Individual
Psychologist (Clinical)630 N HIGHWAY 67
CEDAR HILL, TX 75104
(214) 923-8428
1629402896 RANDIBELLA T ACHERE DNP, FNP-C
Individual
Nurse Practitioner (Family)630 N HIGHWAY 67
CEDAR HILL, TX 75104
(469) 745-4472
1619668191RECOVERY MIND BEHAVIORAL HEALTH SERVICES PLLC
Organization
Nurse Practitioner (Psychiatric/Mental Health)630 N HIGHWAY 67
CEDAR HILL, TX 75104
(469) 754-9744

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053194936, enumerated in the NPI registry as an "organization" on August 15, 2023

The provider is located at 630 N Highway 67 Cedar Hill, Tx 75104 and the phone number is (214) 714-4541

This medical organization specializes in Nurse Practitioner with taxonomy code 363LF0000X with a focus in Family

The provider's CLIA number is 45D2295114 for a "practitioner other" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on August 15, 2023. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.