Organization Active NPI

Gavi Healthcare Management Group LLC.

  • Home Health Agency
  • Dallas, TX
National Provider Identifier
1598435430
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GAVI HEALTHCARE MANAGEMENT GROUP LLC.
Practice address
1349 Empire Central Dr # 640
Dallas, TX 75247-4066
Phone
(817) 941-8215
NPI assigned
Sep 13, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2021

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

Authorized official

Name
Francis Deku
Title
Administrator
Phone
(817) 941-8215

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1349 Empire Central Dr # 640
Dallas, TX 75247-4066

Mailing address

PO Box 182526
Arlington, TX 76096-2526
Phone (817) 941-8215

Other identifiers 1

IdentifierTypeStateIssuer
100MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Dallas

National Provider Directory

National Provider Directory

Locations

1349 Empire Central Dr
#640
Dallas, TX 75247
Phone (817) 941-8215

NPI Registry JSON

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

{
    "created_epoch": "1631491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631491200000",
    "number": "1598435430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 182526",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760962526",
            "telephone_number": "817-941-8215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1349 EMPIRE CENTRAL DR # 640",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752474066",
            "telephone_number": "817-941-8215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAVI HEALTHCARE MANAGEMENT GROUP LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-13",
        "last_updated": "2021-09-13",
        "certification_date": "2021-06-25",
        "status": "A",
        "authorized_official_last_name": "DEKU",
        "authorized_official_first_name": "FRANCIS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "817-941-8215"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Dallas",
            "affiliation": "N",
            "endpointDescription": "Encrypted",
            "address_1": "1349 Empire Central Dr # 640",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752474066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2021; 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.