Organization Active NPI

Acacia Community Assistance Services LLC

  • In Home Supportive Care Agency
  • Lancaster, TX
National Provider Identifier
1639707201
Registry record updated Mar 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
ACACIA COMMUNITY ASSISTANCE SERVICES LLC
Practice address
2325 Bonnywood Dr
Lancaster, TX 75134-2824
Phone
(214) 395-4140
NPI assigned
Mar 30, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2020

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

Authorized official

Name
Aubranee Tatum RobisonNPI 1467069773
Title
Administrator
Phone
(214) 395-4140

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

2325 Bonnywood Dr
Lancaster, TX 75134-2824

Mailing address

2325 Bonnywood Dr
Lancaster, TX 75134-2824

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.

NPI Registry JSON

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

{
    "created_epoch": "1585526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585526400000",
    "number": "1639707201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2325 BONNYWOOD DR",
            "city": "LANCASTER",
            "state": "TX",
            "postal_code": "751342824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2325 BONNYWOOD DR",
            "city": "LANCASTER",
            "state": "TX",
            "postal_code": "751342824",
            "telephone_number": "214-395-4140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACACIA COMMUNITY ASSISTANCE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-30",
        "last_updated": "2020-03-30",
        "certification_date": "2020-03-30",
        "status": "A",
        "authorized_official_last_name": "ROBISON",
        "authorized_official_first_name": "AUBRANEE",
        "authorized_official_middle_name": "TATUM",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "214-395-4140"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2020; 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.