Active NPI
Tcghha, LLC
- Home Health Agency
- Houston, TX
National Provider Identifier
1386943124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- TCGHHA, LLC
- Practice address
- 9220 Kirby Drive
Suite 1000
Houston, TX 77054 - Phone
- (713) 383-9700
- Fax
- (713) 383-9795
- NPI assigned
- Mar 18, 2011
- 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
- Vicki Whiteside
- Title
- Director Regulatory Licensing
- Phone
- (770) 248-8740
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary | ||
| Rehabilitation Clinic/Center | 261QR0400X | 016935 | TX |
Addresses
Primary practice location
9220 Kirby Drive
Suite 1000
Houston, TX 77054
Mailing address
400 Interstate North Parkway, SE
Suite 1600 Attn: Licensing
Atlanta, GA 30339
Phone (770) 248-8740
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3363517 01 | Medicaid | TX |
Other names 1
- Aveanna Healthcare
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300406400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1581465600000",
"number": "1386943124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 INTERSTATE NORTH PARKWAY, SE",
"address_2": "SUITE 1600 ATTN: LICENSING",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30339",
"telephone_number": "770-248-8740",
"fax_number": "770-248-8192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9220 KIRBY DRIVE",
"address_2": "SUITE 1000",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77054",
"telephone_number": "713-383-9700",
"fax_number": "713-383-9795"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TCGHHA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-03-18",
"last_updated": "2020-02-12",
"certification_date": "2020-02-12",
"status": "A",
"authorized_official_last_name": "WHITESIDE",
"authorized_official_first_name": "VICKI",
"authorized_official_title_or_position": "DIRECTOR REGULATORY LICENSING",
"authorized_official_telephone_number": "770-248-8740"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": "TX",
"license": "016935",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3363517 01",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Aveanna Healthcare",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.