Organization Active NPI

Aetna Home Health Care LLC

  • Home Health Agency
  • Arlington, TX
National Provider Identifier
1114253523
Registry record updated Oct 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
AETNA HOME HEALTH CARE LLC
Practice address
5803 Scenic Bay CT
Arlington, TX 76013-5243
Phone
(817) 457-1100
Fax
(817) 719-9355
NPI assigned
Oct 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2009

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

Authorized official

Name
Ms. Anne Ifeanyi Ebuehi -Nwaefulu
Title
Administrator
Phone
(817) 457-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

5803 Scenic Bay CT
Arlington, TX 76013-5243

Mailing address

5803 Scenic Bay CT
Arlington, TX 76013-5243
Phone (817) 457-1100

National Provider Directory

National Provider Directory
Tax ID family
Aetna Home Health Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1255996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255996800000",
    "number": "1114253523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5803 SCENIC BAY CT",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760135243",
            "telephone_number": "817-457-1100",
            "fax_number": "817-719-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5803 SCENIC BAY CT",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760135243",
            "telephone_number": "817-457-1100",
            "fax_number": "817-719-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AETNA HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-20",
        "last_updated": "2009-10-20",
        "status": "A",
        "authorized_official_last_name": "EBUEHI -NWAEFULU",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "IFEANYI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "817-457-1100",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2009; 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.