Organization Active NPI

Inter Active Healthcare Inc

  • Community Based Hospice Care Agency
  • Stafford, TX
National Provider Identifier
1093792111
Registry record updated Feb 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
007458 Issued in TX
Legal business name
INTER ACTIVE HEALTHCARE INC
Doing business as
Inter Active Hospice Services
Practice address
4677 Techniplex Dr
Stafford, TX 77477-3825
Phone
(281) 892-2000
Fax
(281) 892-2015
NPI assigned
Dec 29, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2019

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

Authorized official

Name
Leigh Narvacan
Title
Administrator
Phone
(281) 892-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 007458 TX Primary

Addresses

Primary practice location

4677 Techniplex Dr
Stafford, TX 77477-3825

Mailing address

4677 Techniplex Dr
Stafford, TX 77477-3825
Phone (281) 892-2000

Other identifiers 2

IdentifierTypeStateIssuer
000218100MedicaidTX
HH6881OtherTXBCBS

Other names 1

  • Inter Active Hospice Services Doing business as

National Provider Directory

National Provider Directory

Locations

4677 Techniplex Dr
Stafford, TX 77477
Phone (281) 240-4144

NPI Registry JSON

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550707200000",
    "number": "1093792111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4677 TECHNIPLEX DR",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774773825",
            "telephone_number": "281-892-2000",
            "fax_number": "281-892-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4677 TECHNIPLEX DR",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774773825",
            "telephone_number": "281-892-2000",
            "fax_number": "281-892-2015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTER ACTIVE HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-29",
        "last_updated": "2019-02-21",
        "status": "A",
        "authorized_official_last_name": "NARVACAN",
        "authorized_official_first_name": "LEIGH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "281-892-2000"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "TX",
            "license": "007458",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000218100",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "HH6881",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Inter Active Hospice Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Inter Active Hospice Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stafford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2019; 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.