Organization Active NPI

Bienville Holdings, LTD

  • Home Health Agency
  • Tyler, TX
National Provider Identifier
1235278813
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
007113 Issued in TX
Legal business name
BIENVILLE HOLDINGS, LTD
Doing business as
At Home Healthcare
Practice address
9846 State Highway 31 E
Tyler, TX 75705-2329
Phone
(903) 592-8001
Fax
(903) 581-6918
NPI assigned
Feb 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Melissa Williamson
Title
VP Chief Financial Officer
Phone
(903) 592-8001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 007113 TX Primary

Addresses

Primary practice location

9846 State Highway 31 E
Tyler, TX 75705-2329

Mailing address

9846 State Highway 31 E
Tyler, TX 75705-2329
Phone (903) 592-8001

Other identifiers 1

IdentifierTypeStateIssuer
001001162MedicaidTX

Other names 1

  • At Home Healthcare Doing business as

National Provider Directory

National Provider Directory
Tax ID family
At Home Healthcare2 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": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235278813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9846 STATE HIGHWAY 31 E",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757052329",
            "telephone_number": "903-592-8001",
            "fax_number": "903-581-6918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9846 STATE HIGHWAY 31 E",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757052329",
            "telephone_number": "903-592-8001",
            "fax_number": "903-581-6918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIENVILLE HOLDINGS, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMSON",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "VP CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "903-592-8001",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "007113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001001162",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "At Home Healthcare",
            "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 Aug 22, 2020; 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.