Xennial Senior Care Services LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

XENNIAL SENIOR CARE SERVICES LLC

Doing business as

A Place At Home

Practice address

945 SGT Ed Holcomb Blvd S Ste 20
Conroe, TX 77304-1130

Phone

(936) 703-8394

NPI assigned

Mar 11, 2021

Last updated

Apr 3, 2024By 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

Trista Johnson

Title

Owner/Alternate Administrator

Phone

(651) 398-9925

Specialties & licenses 2

Addresses

Other names 1

• A Place At Home Doing business as

Locations

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

{
    "created_epoch": "1615420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712102400000",
    "number": "1467037457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "482 WOODPECKER FOREST LN",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773843757",
            "telephone_number": "651-398-9925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 SGT ED HOLCOMB BLVD S STE 20",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773041130",
            "telephone_number": "936-703-8394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XENNIAL SENIOR CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-11",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "TRISTA",
        "authorized_official_title_or_position": "OWNER/ALTERNATE ADMINISTRATOR",
        "authorized_official_telephone_number": "651-398-9925"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A Place At Home",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "A Place At Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Yi Yang, DDS

• In Home Supportive Care Agency in Conroe, TX
• Providers in Conroe, TX by specialty
• In Home Supportive Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.