Aevacare Home Health Agency Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

AEVACARE HOME HEALTH AGENCY INC

Practice address

314 N East St Ste 11
Arlington, TX 76011-7503

Phone

(832) 709-7530

NPI assigned

Mar 19, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Cecilia O Koya

Title

Ceo

Phone

(832) 709-7530

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• AEVACARE HOME HEALTH AGENCY INC Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1616112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616112000000",
    "number": "1003492265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 N EAST ST STE 11",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760117503",
            "telephone_number": "832-709-7530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 N EAST ST STE 11",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760117503",
            "telephone_number": "832-709-7530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AEVACARE HOME HEALTH AGENCY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-19",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A",
        "authorized_official_last_name": "KOYA",
        "authorized_official_first_name": "CECILIA",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "832-709-7530"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "25648577",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AEVACARE HOME HEALTH AGENCY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.