Organization Active NPI

Avatar Home Health Care Agency, LLC

  • General Practice Physician
  • Spring, TX
National Provider Identifier
1528314820
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
AVATAR HOME HEALTH CARE AGENCY, LLC
Practice address
25325 Borough Park Dr Ste 100
Spring, TX 77380-3564
Phone
(281) 465-8220
Fax
(281) 298-7502
NPI assigned
Jul 24, 2012
Last updated
Oct 12, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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

Authorized official

Name
Mr. Felix N. Canabal
Title
Chief Financial Officer
Phone
(281) 465-8220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

25325 Borough Park Dr Ste 100
Spring, TX 77380-3564

Mailing address

25325 Borough Park Dr Ste 100
The Woodlands, TX 77380-3564
Phone (281) 465-8220

National Provider Directory

National Provider Directory

Locations

26003 Oak Ridge Dr
Spring, TX 77380

25325 Borough Park Dr
Ste 100
The Woodlands, TX 77380
Phone (281) 465-8220

NPI Registry JSON

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

{
    "created_epoch": "1343088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697068800000",
    "number": "1528314820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25325 BOROUGH PARK DR STE 100",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773803564",
            "telephone_number": "281-465-8220",
            "fax_number": "281-298-7502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25325 BOROUGH PARK DR STE 100",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773803564",
            "telephone_number": "281-465-8220",
            "fax_number": "281-298-7502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVATAR HOME HEALTH CARE AGENCY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-24",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A",
        "authorized_official_last_name": "CANABAL",
        "authorized_official_first_name": "FELIX",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "281-465-8220",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; 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.