Blue Agave Solutions

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

BLUE AGAVE SOLUTIONS

Practice address

15825 Carlton Oaks Dr
Fort Worth, TX 76177-2162

Phone

(972) 849-4000

NPI assigned

Jul 17, 2018

Organization subpart

No

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

Authorized official

Name

Richard Carney

Title

President

Phone

(619) 568-6800

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1531785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531785600000",
    "number": "1174009690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10109 LAKE CREEK PKWY UNIT 170434",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787170119",
            "telephone_number": "972-849-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15825 CARLTON OAKS DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761772162",
            "telephone_number": "972-849-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE AGAVE SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-17",
        "last_updated": "2018-07-17",
        "status": "A",
        "authorized_official_last_name": "CARNEY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-568-6800"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Wound Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Dawn Bloom, LPC-S
• Tyler Lee Bloomer, M.D.
• Becky Bloomfield, PT
• Elizabeth M Bloomfield, PA
• Amy Joy Blount
• Blue Ridge Neuromonitoring LLC
• Blue Sky Speech and Feeding Therapy PLLC
• Blue Star Medical Management PLLC
• Blue Star Pain Center,LLC
• James Blue, PH.D

• Home Health Agency in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2018; 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.