Organization Active NPI

Veranda Wellcare Services, LLC

  • Home Health Agency
  • Tyler, TX
National Provider Identifier
1144523705
Registry record updated Mar 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
VERANDA WELLCARE SERVICES, LLC
Practice address
777 S Broadway Ave
Suite 200
Tyler, TX 75701-1607
Phone
(903) 581-1223
NPI assigned
Dec 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2012

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

Authorized official

Name
Mr. Daniel R Willson, PT, MS
Title
President
Phone
(903) 581-1223

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

777 S Broadway Ave
Suite 200
Tyler, TX 75701-1607

Mailing address

PO Box 130010
Tyler, TX 75713-0010
Phone (903) 581-1223

Other names 1

  • Paradigm HomeCare Doing business as

National Provider Directory

National Provider Directory

Locations

777 S Broadway Ave
Ste 200
Tyler, TX 75701
Phone (903) 581-1223

NPI Registry JSON

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

{
    "created_epoch": "1292803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331251200000",
    "number": "1144523705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 130010",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757130010",
            "telephone_number": "903-581-1223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 S BROADWAY AVE",
            "address_2": "SUITE 200",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757011607",
            "telephone_number": "903-581-1223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERANDA WELLCARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-20",
        "last_updated": "2012-03-09",
        "status": "A",
        "authorized_official_last_name": "WILLSON",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "903-581-1223",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT, MS"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paradigm HomeCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2012; 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.