Advancelife Care Solutions, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

ADVANCELIFE CARE SOLUTIONS, LLC

Doing business as

Visiting Angels

Practice address

630 E Southlake Blvd
Southlake, TX 76092-6258

Phone

(817) 684-1996

Fax

(817) 334-7994

NPI assigned

Jul 31, 2012

Last updated

Aug 1, 2012By 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

Mr. Frederick Earl Kimble

Title

Owner/Ceo

Phone

(817) 684-1996

Specialties & licenses 1

Addresses

Other names 1

• Visiting Angels Doing business as

Locations

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

{
    "created_epoch": "1343692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343779200000",
    "number": "1477809135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 E SOUTHLAKE BLVD",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926258",
            "telephone_number": "817-684-1996",
            "fax_number": "817-334-7994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 E SOUTHLAKE BLVD",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926258",
            "telephone_number": "817-684-1996",
            "fax_number": "817-334-7994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCELIFE CARE SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-31",
        "last_updated": "2012-08-01",
        "status": "A",
        "authorized_official_last_name": "KIMBLE",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "817-684-1996",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visiting Angels",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2012; 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.