1 Ava Home Care

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Legal business name

1 AVA HOME CARE

Practice address

507 Highpoint LN
Mansfield, TX 76063-9003

Phone

(817) 899-3482

NPI assigned

Mar 6, 2023

Last updated

Mar 6, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Colette AustinNPI 1548992050

Title

Case Manager/Owner

Phone

(817) 899-3482

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Colette Austin

  • Case Manager/Care Coordinator
  • Mansfield, TX
  • NPI 1548992050
  NPD Authorized official

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

{
    "created_epoch": "1678060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678060800000",
    "number": "1346940640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 HIGHPOINT LN",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760639003",
            "telephone_number": "817-899-3482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 HIGHPOINT LN",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760639003",
            "telephone_number": "817-899-3482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1 AVA HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-06",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A",
        "authorized_official_last_name": "AUSTIN",
        "authorized_official_first_name": "COLETTE",
        "authorized_official_title_or_position": "CASE MANAGER/OWNER",
        "authorized_official_telephone_number": "817-899-3482"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 1918 Winter Street Operating Co LLC (Market Street Pharmacy #0696)
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• 20 20 Icare Mansfield PLLC
• 4 H Counseling Center, LLC.

• Case Manager/Care Coordinator in Mansfield, TX
• Providers in Mansfield, TX by specialty
• Case Manager/Care Coordinator in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.