Organization Active NPI

Aages Health Care Inc

  • Home Health Agency
  • Bastrop, TX
National Provider Identifier
1609964279
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
009889 Issued in TX
Legal business name
AAGES HEALTH CARE INC
Practice address
185 Kona Dr
Bastrop, TX 78602-4637
Phone
(512) 321-1885
Fax
(512) 308-9770
NPI assigned
Oct 10, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
John Andrew Sandoval, BS PA-CNPI 1952424368
Title
Administrator
Phone
(512) 321-1885

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
Home Health Agency 251E00000X 009889 TX Primary

Addresses

Primary practice location

185 Kona Dr
Bastrop, TX 78602-4637

Mailing address

185 Kona Dr
Bastrop, TX 78602-4637
Phone (512) 321-1885

Other identifiers 3

IdentifierTypeStateIssuer
009889OtherTXAGENCY LICENSE NUMBER
30167310OtherTXTEXAS CONTROLLED SUBSTANCES REG
TX7003187OtherTXSTATE I.D. NUMBER

National Provider Directory

National Provider Directory

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": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1609964279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 KONA DR",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "786024637",
            "telephone_number": "512-321-1885",
            "fax_number": "512-308-9770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 KONA DR",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "786024637",
            "telephone_number": "512-321-1885",
            "fax_number": "512-308-9770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AAGES HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "SANDOVAL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "512-321-1885",
        "authorized_official_credential": "BS PA-C"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "009889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AGENCY LICENSE NUMBER",
            "identifier": "009889",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS CONTROLLED SUBSTANCES REG",
            "identifier": "30167310",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE I.D. NUMBER",
            "identifier": "TX7003187",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bastrop, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.