Organization Active NPI

Amarevida, LLC

  • In Home Supportive Care Agency
  • Kingwood, TX
National Provider Identifier
1346885720
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
AMAREVIDA, LLC
Practice address
2754 Kings Retreat Cir
Kingwood, TX 77345-5600
Phone
(281) 798-0057
NPI assigned
Nov 9, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

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

Authorized official

Name
Ryan Beals, RN
Title
Owner/Administrator
Phone
(888) 355-8432

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

2754 Kings Retreat Cir
Kingwood, TX 77345-5600

Mailing address

2754 Kings Retreat Cir
Kingwood, TX 77345-5600
Phone (281) 798-0057

Other names 1

  • AmareVida, LLC Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@amarevida.com

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1573257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643587200000",
    "number": "1346885720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2754 KINGS RETREAT CIR",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773455600",
            "telephone_number": "281-798-0057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2754 KINGS RETREAT CIR",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773455600",
            "telephone_number": "281-798-0057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMAREVIDA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-09",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A",
        "authorized_official_last_name": "BEALS",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "888-355-8432",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@amarevida.com",
            "affiliation": "N",
            "address_1": "2754 Kings Retreat Cir",
            "city": "Kingwood",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773455600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "AmareVida, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Kingwood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.