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FIRST SOURCE WOUND CARE
NPI 1316705361
Home Health in Keller, TX

Active since March 13, 2024
1540 KELLER PKWY STE 108-168, KELLER, TX 76248(469) 850-3114 Get Directions Write a Review

NPPES record last updated: March 13, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About First Source Wound Care NPPES

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

FIRST SOURCE WOUND CARE (NPI 1316705361) is a healthcare organization registered as a home health in Keller, Texas and active in the NPI registry since March 2024. The organization lists Peter Brokish, Vice-president, as its authorized official.

NPPES Registry Identity

NPI1316705361
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameFIRST SOURCE WOUND CARE
Location Address1540 KELLER PKWY STE 108-168Keller, TX 76248-3686
Mailing Address1540 Keller Pkwy Ste 108-168Keller, TX 76248-3686 · (469) 850-3114
Phone(469) 850-3114
Organization SubpartNo
Authorized OfficialPeter BrokishVice-president · (469) 850-3114
Enumeration DateMarch 13, 2024
NPPES CertifiedMarch 12, 2024
✔ NPI 1316705361 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.
1540 KELLER PKWY STE 108-168, Keller, TX 76248
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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 First Source Wound Care's NPI number?

The NPI number for First Source Wound Care is 1316705361. It was assigned to this organization in the NPPES registry on March 13, 2024.

Where is First Source Wound Care located?

First Source Wound Care is located at 1540 Keller Pkwy Ste 108-168, Keller, TX 76248. The listed phone number is (469) 850-3114.

What is First Source Wound Care's specialty?

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

When was this NPI record last updated?

The NPPES record for First Source Wound Care was last updated on March 13, 2024. 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.