Athome Community Services, LLC

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Legal business name

ATHOME COMMUNITY SERVICES, LLC

Practice address

3006 State Highway 159
La Grange, TX 78945-4340

Phone

(512) 336-0800

NPI assigned

Jan 25, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Andrea D Gray, MBA

Title

President & Treasurer

Phone

(512) 413-6372

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1548374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582156800000",
    "number": "1073077871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 CYPRESS BLVD STE 100",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786651006",
            "telephone_number": "512-336-0800",
            "fax_number": "512-336-0812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3006 STATE HIGHWAY 159",
            "city": "LA GRANGE",
            "state": "TX",
            "postal_code": "789454340",
            "telephone_number": "512-336-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHOME COMMUNITY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-25",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT & TREASURER",
        "authorized_official_telephone_number": "512-413-6372",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Guy Leroy Abbey, CRNA
• Air Evac EMS Inc
• Charles W Anderson, MD
• Margaret Claire Anderson, LMT., MLD/CDT
• Nathan Wallace Anderson, MD
• Babcock Anesthesia Providers PC
• Kent K Babcock, CRNA
• Baca Anesthesia PC
• William H Bailey, MD
• Banks Pediatrics PLLC

• Community Health Worker in La Grange, TX
• Providers in La Grange, TX by specialty
• Community Health Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; 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.