Organization Active NPI

Xceptional Post Acute Care PLLC

  • Community Health Clinic/Center
  • Angleton, TX
National Provider Identifier
1376155341
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
XCEPTIONAL POST ACUTE CARE PLLC
Practice address
105 S Chenango St Ste 2
Angleton, TX 77515-6080
Phone
(281) 857-5201
NPI assigned
Aug 20, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Authorized official

Name
Ivo Kelli Achuo, NP
Title
NP
Phone
(128) 185-7520

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular-Interventional Technology Radiologic TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 2471V0106X
Community Health Clinic/Center 261QC1500X Primary
Infusion Therapy Clinic/Center 261QI0500X

Addresses

Primary practice location

105 S Chenango St Ste 2
Angleton, TX 77515-6080

Mailing address

9819 Wright Dr
Manvel, TX 77578-1756
Phone (281) 857-5201

Other names 1

  • XPAC MOBILE VASCULAR ACCESS Other name

National Provider Directory

National Provider Directory

Locations

105 S Chenango St
Angleton, TX 77515
Phone (409) 849-3711

105 S Chenango St
Ste 2
Angleton, TX 77515
Phone (281) 857-5201

NPI Registry JSON

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

{
    "created_epoch": "1597881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716249600000",
    "number": "1376155341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9819 WRIGHT DR",
            "city": "MANVEL",
            "state": "TX",
            "postal_code": "775781756",
            "telephone_number": "281-857-5201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 S CHENANGO ST STE 2",
            "city": "ANGLETON",
            "state": "TX",
            "postal_code": "775156080",
            "telephone_number": "281-857-5201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XCEPTIONAL POST ACUTE CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-20",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A",
        "authorized_official_last_name": "ACHUO",
        "authorized_official_first_name": "IVO",
        "authorized_official_middle_name": "KELLI",
        "authorized_official_title_or_position": "NP",
        "authorized_official_telephone_number": "128-185-7520",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "2471V0106X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Vascular-Interventional Technology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "XPAC MOBILE VASCULAR ACCESS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Angleton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; 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.