Organization Active NPI

Nevaeh Home Care, LLC

  • In Home Supportive Care Agency
  • Corpus Christi, TX
National Provider Identifier
1477822310
Registry record updated Dec 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
NEVAEH HOME CARE, LLC
Practice address
14618 Red River Dr
Corpus Christi, TX 78410-5623
Phone
(361) 215-0771
Fax
(361) 356-1855
NPI assigned
Dec 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2011

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

Authorized official

Name
Ms. Melissa Anne Nicholson, RN
Title
Ceo
Phone
(361) 215-0771

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

14618 Red River Dr
Corpus Christi, TX 78410-5623

Mailing address

14618 Red River Dr
Corpus Christi, TX 78410-5623
Phone (361) 215-0771

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1324425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324425600000",
    "number": "1477822310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14618 RED RIVER DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784105623",
            "telephone_number": "361-215-0771",
            "fax_number": "361-356-1855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14618 RED RIVER DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784105623",
            "telephone_number": "361-215-0771",
            "fax_number": "361-356-1855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEVAEH HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-21",
        "last_updated": "2011-12-21",
        "status": "A",
        "authorized_official_last_name": "NICHOLSON",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "361-215-0771",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2011; 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.