Active NPI
Swan Health & Wellness LLC
Doing business as Affirm At Home Care Solutions
- In Home Supportive Care Agency
- Waco, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- SWAN HEALTH & WELLNESS LLC
- Doing business as
- Affirm At Home Care Solutions
- Practice address
- 1174 Idlewood Dr
Waco, TX 76705-5238 - Phone
- (254) 214-2558
- NPI assigned
- Mar 14, 2022
- Last updated
- Mar 14, 2022
- Organization subpart
- Yes
- Parent organization
- SWAN HEALTH & WELLNESS LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Chandra Montgomery
- Title
- Managing Member
- Phone
- (254) 214-2558
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
1174 Idlewood Dr
Waco, TX 76705-5238
Mailing address
1174 Idlewood Dr
Waco, TX 76705-5238
Phone (254) 214-2558
Other names 1
- Affirm At Home Care Solutions
National Provider Directory
National Provider Directory- Part of
- Swan Health Wellness LLC
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Primary Care Nurse Practitioner
- Waco, TX
- NPI 1245703149
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Adult Health Nurse Practitioner
- Waco, TX
- NPI 1124186507
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647216000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1647216000000",
"number": "1508514084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1174 IDLEWOOD DR",
"city": "WACO",
"state": "TX",
"postal_code": "767055238",
"telephone_number": "254-214-2558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1174 IDLEWOOD DR",
"city": "WACO",
"state": "TX",
"postal_code": "767055238",
"telephone_number": "254-214-2558"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SWAN HEALTH & WELLNESS LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SWAN HEALTH & WELLNESS LLC",
"enumeration_date": "2022-03-14",
"last_updated": "2022-03-14",
"certification_date": "2022-03-14",
"status": "A",
"authorized_official_last_name": "MONTGOMERY",
"authorized_official_first_name": "CHANDRA",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "254-214-2558"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Affirm At Home Care Solutions",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Waco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.