Organization Active NPI

The Domenech Group, LLC

  • Secured Medical Transport (VAN)
  • Baytown, TX
National Provider Identifier
1154084598
Registry record updated Feb 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Secured Medical Transport (VAN)Taxonomy code 343800000X
Legal business name
THE DOMENECH GROUP, LLC
Practice address
8226 Broadleaf Ave
Baytown, TX 77521-5556
Phone
(409) 692-5783
NPI assigned
Oct 21, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2022

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

Authorized official

Name
Mrs. Alexis Domenech, CNANPI 1225702517
Title
Manager
Phone
(409) 692-5783

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X
PACE Provider Organization 251T00000X
Adult Day Care Clinic/Center 261QA0600X
Secured Medical Transport (VAN) 343800000X Primary
Non-emergency Medical Transport (VAN) 343900000X
Nurse's AideGroup: 193200000X MULTI-SPECIALTY GROUP 376K00000X

Addresses

Primary practice location

8226 Broadleaf Ave
Baytown, TX 77521-5556

Mailing address

8226 Broadleaf Ave
Baytown, TX 77521-5556
Phone (409) 692-5783

Other identifiers 1

IdentifierTypeStateIssuer
1225702517OtherCNA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1634774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644278400000",
    "number": "1154084598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8226 BROADLEAF AVE",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775215556",
            "telephone_number": "409-692-5783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8226 BROADLEAF AVE",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775215556",
            "telephone_number": "409-692-5783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DOMENECH GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-21",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A",
        "authorized_official_last_name": "DOMENECH",
        "authorized_official_first_name": "ALEXIS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "409-692-5783",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CNA"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CNA",
            "identifier": "1225702517",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baytown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; 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.