Organization Active NPI

Inter Active Healthcare Inc

  • Home Health Agency
  • Stafford, TX
National Provider Identifier
1477618874
Registry record updated Feb 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
003376 Issued in TX
Legal business name
INTER ACTIVE HEALTHCARE INC
Practice address
4677 Techniplex Dr
Stafford, TX 77477-3825
Phone
(281) 892-2000
Fax
(281) 892-2015
NPI assigned
Dec 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2019

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

Authorized official

Name
Leigh Narvacan
Title
Administrator
Phone
(281) 892-2000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 003376 TX Primary
Home Health Agency 251E00000X 005969 TX

Addresses

Primary practice location

4677 Techniplex Dr
Stafford, TX 77477-3825

Mailing address

4677 Techniplex Dr
Stafford, TX 77477-3825
Phone (281) 892-2000

Other identifiers 3

IdentifierTypeStateIssuer
000957100MedicaidTX
000109000MedicaidTX
001002274MedicaidTX

National Provider Directory

National Provider Directory
Tax ID family
Inter Active Healthcare Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550707200000",
    "number": "1477618874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4677 TECHNIPLEX DR",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774773825",
            "telephone_number": "281-892-2000",
            "fax_number": "281-892-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4677 TECHNIPLEX DR",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774773825",
            "telephone_number": "281-892-2000",
            "fax_number": "281-892-2015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTER ACTIVE HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2019-02-21",
        "status": "A",
        "authorized_official_last_name": "NARVACAN",
        "authorized_official_first_name": "LEIGH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "281-892-2000"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "003376",
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "005969",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000957100",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000109000",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001002274",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stafford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2019; 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.