Organization Active NPI

Swan Health & Wellness LLC

Doing business as Affirm At Home Care Solutions

  • In Home Supportive Care Agency
  • Waco, TX
National Provider Identifier
1508514084
Registry record updated Mar 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
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, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
SWAN HEALTH & WELLNESS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 14, 2022

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

Authorized official

Name
Chandra MontgomeryNPI 1124186507
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)CodeLicenseStatePrimary
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 Doing business as

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.

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.

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.

Verify at the official NPI Registry.