Active NPI
Bienville Holdings, LTD
- Home Health Agency
- Tyler, TX
National Provider Identifier
1235278813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 007113
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001001162 | Medicaid | TX |
Other names 1
- At Home Healthcare
National Provider Directory
National Provider Directory- Tax ID family
- At Home Healthcare
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Tyler, TX
- NPI 1689887721
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.