Brazos Valley Healthcare, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

010584 Issued in TX

Legal business name

BRAZOS VALLEY HEALTHCARE, LLC

Practice address

14014 Cobalt Glen Dr
Sugar Land, TX 77478-2092

Phone

(281) 723-8520

Fax

(281) 242-2775

NPI assigned

Jul 30, 2006

Organization subpart

No

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

Authorized official

Name

Mr. George Mathew KakkanattNPI 1336248913

Title

Administrator

Phone

(281) 723-8520

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.

• George M Kakkanatt, LCSW

  • Clinical Social Worker
  • Houston, TX
  • NPI 1336248913
  NPD (past) Authorized official

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457366155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14014 COBALT GLEN DR",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774782092",
            "telephone_number": "281-723-8520",
            "fax_number": "281-242-2775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14014 COBALT GLEN DR",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774782092",
            "telephone_number": "281-723-8520",
            "fax_number": "281-242-2775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAZOS VALLEY HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KAKKANATT",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "MATHEW",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "281-723-8520",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "010584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lizareli Bravo Lopez, LPC
• Rylie R Braza, BCBA, LBA
• Brazos Anesthesia PLLC
• Brazos Neurology
• Brazos Pain Management PA
• Brazos Vision Group
• David Zachary Brazzell, DC
• Juliet S Breeze, M.D.
• Rodas Brhanemeskel, DPT
• Jordan Brickley

• Home Health Agency in Sugar Land, TX
• Providers in Sugar Land, TX by specialty
• Home Health Agency in Texas

• 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.

Verify at the official NPI Registry.