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PEDIALIFE HOME HEALTH INC.
NPI 1811264708
Home Health in Fort Worth, TX

Active since November 21, 2011CLIA 45D2041340 · Waiver
5500 E LOOP 820 S, SUITE 207, FORT WORTH, TX 76119(817) 563-5433(817) 563-5435 Get Directions Write a Review

NPPES record last updated: June 25, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pedialife Home Health Inc. NPPES

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

PEDIALIFE HOME HEALTH INC. (NPI 1811264708) is a healthcare organization registered as a home health in Fort Worth, Texas and active in the NPI registry since November 2011. The organization holds a CLIA Waiver certificate valid through May 20, 2028 and lists Develle Marie Dedrick, President, as its authorized official.

NPPES Registry Identity

NPI1811264708
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NamePEDIALIFE HOME HEALTH INC.
Location Address5500 E LOOP 820 S, SUITE 207Fort Worth, TX 76119-6569
Mailing Address5500 E Loop 820 S, Suite 207Fort Worth, TX 76119-6569 · (817) 563-5433 · Fax (817) 563-5435
Phone(817) 563-5433
Fax(817) 563-5435
Organization SubpartNo
Authorized OfficialDevelle Marie DedrickPresident · (817) 296-5938
Enumeration DateNovember 21, 2011
Last NPPES UpdateJune 25, 2012
✔ NPI 1811264708 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.
5500 E LOOP 820 S, Fort Worth, TX 76119
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2041340

Pedialife Home Health, Inc · Fort Worth, TX
Active · expires May 20, 2028
CLIA Number45D2041340
Laboratory TypeHome Health Agency
Certificate Effective DateMay 21, 2026
Certificate Expiration DateMay 20, 2028
Laboratory DirectorDevelle M. Coleman
Laboratory Phone(817) 563-5433
Laboratory LocationPedialife Home Health, Inc5500 E Loop 820 South, Suite 111, Fort Worth, TX 76119
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

PROCARE HOME CARE & SITTER SERVICE CO INC
Home Health
5500 E LOOP 820 S, SUITE 109
FORT WORTH, TX 76119
Tarrant County (817) 478-3108
AIRWAY SUPPORT SOLUTION LLC
Durable Medical Equipment & Medical Supplies
5500 E LOOP 820 S, SUITE 109
FORT WORTH, TX 76119
Tarrant County (817) 563-2880

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 Pedialife Home Health Inc.'s NPI number?

The NPI number for Pedialife Home Health Inc. is 1811264708. It was assigned to this organization in the NPPES registry on November 21, 2011.

Where is Pedialife Home Health Inc. located?

Pedialife Home Health Inc. is located at 5500 E Loop 820 S Suite 207, Fort Worth, TX 76119. The listed phone number is (817) 563-5433.

What is Pedialife Home Health Inc.'s specialty?

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

Does Pedialife Home Health Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2041340) is associated with this NPI, valid through May 20, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pedialife Home Health Inc. was last updated on June 25, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.