Centenary Healthcare Services, LLC

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Legal business name

CENTENARY HEALTHCARE SERVICES, LLC

Practice address

21408 Cupola VW
Pflugerville, TX 78660-2654

Phone

(720) 427-7769

NPI assigned

Dec 17, 2021

Organization subpart

No

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

Authorized official

Name

Favor Nchotu

Title

Administrator

Phone

(720) 427-7769

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1639699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705968000000",
    "number": "1497415442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21408 CUPOLA VW",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786602654",
            "telephone_number": "720-427-7769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21408 CUPOLA VW",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786602654",
            "telephone_number": "720-427-7769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTENARY HEALTHCARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-17",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A",
        "authorized_official_last_name": "NCHOTU",
        "authorized_official_first_name": "FAVOR",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "720-427-7769"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raymond Matthew Causa, LMT
• Andrew T. Cavanagh, MD
• Janna Oddie Cavanaugh, PSY D
• Kimberly Smith Cavins, OTR
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• Central Texas Community Health Centers
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• Personal Care Attendant in Pflugerville, TX
• Providers in Pflugerville, TX by specialty
• Personal Care Attendant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.