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THE PRUDENT HEALTHCARE AGENCY INC.
NPI 1104069509
Home Health in Grand Prairie, TX

Active since April 14, 2009
2100 N HWY 360, SUITE207B, GRAND PRAIRIE, TX 75050(469) 999-0861(469) 999-0860 Get Directions Write a Review

NPPES record last updated: December 4, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About The Prudent Healthcare Agency Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THE PRUDENT HEALTHCARE AGENCY INC. (NPI 1104069509) is a healthcare organization registered as a home health in Grand Prairie, Texas and active in the NPI registry since April 2009. The organization lists Mondde Kelvin Iyamah, Administrator, as its authorized official.

NPPES Registry Identity

NPI1104069509
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameTHE PRUDENT HEALTHCARE AGENCY INC.
Location Address2100 N HWY 360, SUITE207BGrand Prairie, TX 75050-1011
Mailing Address2100 N Hwy 360 Ste 207aGrand Prairie, TX 75050-1010 · (469) 999-0861 · Fax (469) 999-0860
Phone(469) 999-0861
Fax(469) 999-0860
Organization SubpartNo
Authorized OfficialMondde Kelvin IyamahAdministrator · (817) 663-3456
Enumeration DateApril 14, 2009
Last NPPES UpdateDecember 4, 2023
NPPES CertifiedDecember 4, 2023
✔ NPI 1104069509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
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.
2100 N HWY 360, Grand Prairie, TX 75050
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Other Identifiers 1

Medicaid2130064-01TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SWAY 3PL LLC
Eyewear Supplier
2100 N HWY 360, STE 805
GRAND PRAIRIE, TX 75050
Dallas County (214) 396-6688
ONSITE OCCMED PA
Clinic/Center (Occupational Medicine)
2100 N HWY 360, SUITE 2201
GRAND PRAIRIE, TX 75050
Dallas County (972) 988-0441
EAST POINTE PHARMACY SERVICES, INC
Pharmacy
2100 N HWY 360, SUITE # 1001
GRAND PRAIRIE, TX 75050
Dallas County (972) 647-8444
THME, INC.
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
2100 N HWY 360, 1704
GRAND PRAIRIE, TX 75050
Dallas County (972) 206-0111
MS. BENDU NORWU ROBERTS
Day Training, Developmentally Disabled Services
2100 N HWY 360, SUITE 1105
GRAND PRAIRIE, TX 75050
Dallas County (971) 226-1892

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is The Prudent Healthcare Agency Inc.'s NPI number?

The NPI number for The Prudent Healthcare Agency Inc. is 1104069509. It was assigned to this organization in the NPPES registry on April 14, 2009.

Where is The Prudent Healthcare Agency Inc. located?

The Prudent Healthcare Agency Inc. is located at 2100 N Hwy 360 Suite207b, Grand Prairie, TX 75050. The listed phone number is (469) 999-0861.

What is The Prudent Healthcare Agency Inc.'s specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

What insurance does The Prudent Healthcare Agency Inc. accept?

Health plans from Molina Healthcare list The Prudent Healthcare Agency Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for The Prudent Healthcare Agency Inc. was last updated on December 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.