Aetna Home Care & Management Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

AETNA HOME CARE & MANAGEMENT INC

Practice address

12989 Jupiter Rd Ste 104
Dallas, TX 75238-5248

Phone

(682) 381-9632

Fax

(682) 316-0058

NPI assigned

Jan 17, 2017

Organization subpart

No

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

Authorized official

Name

Patience Akpandem

Title

Owner

Phone

(682) 381-9632

Specialties & licenses 3

Addresses

Other identifiers 1

Practitioners 1

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

• Nicolas Gbedemakou

  • Home Health Aide
  • Waashington, DC
  • NPI 1992062624
  NPD

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

{
    "created_epoch": "1484611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688688000000",
    "number": "1174069017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12989 JUPITER RD STE 104",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752385248",
            "telephone_number": "682-381-9632",
            "fax_number": "682-316-0058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12989 JUPITER RD STE 104",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752385248",
            "telephone_number": "682-381-9632",
            "fax_number": "682-316-0058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AETNA HOME CARE & MANAGEMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-17",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A",
        "authorized_official_last_name": "AKPANDEM",
        "authorized_official_first_name": "PATIENCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "682-381-9632"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": null,
            "primary": true
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "423277901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Dallas, TX
• Providers in Dallas, 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 7, 2023; 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.