NPIMap

Organization Active NPI

Aqueduct Home Care LLC

  • In Home Supportive Care Agency
  • Beaumont, TX
National Provider Identifier
1083233795
Registry record updated Apr 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
AQUEDUCT HOME CARE LLC
Practice address
1575 Belvedere Dr
Beaumont, TX 77706-3403
Phone
(409) 748-9510
NPI assigned
Apr 13, 2020
Last updated
Apr 13, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2020

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

Authorized official

Name
Tracey R Young, RN
Title
Owner
Phone
(409) 748-9510

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1575 Belvedere Dr
Beaumont, TX 77706-3403

Mailing address

1575 Belvedere Dr
Beaumont, TX 77706-3403
Phone (409) 748-9510

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1586736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586736000000",
    "number": "1083233795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 BELVEDERE DR",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777063403",
            "telephone_number": "409-748-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 BELVEDERE DR",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777063403",
            "telephone_number": "409-748-9510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AQUEDUCT HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-13",
        "last_updated": "2020-04-13",
        "certification_date": "2020-04-13",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "409-748-9510",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.