Organization Active NPI

Ave Maria Home Care Services, LLC

  • Home Health Aide
  • Desoto, TX
National Provider Identifier
1649780487
Registry record updated Oct 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Legal business name
AVE MARIA HOME CARE SERVICES, LLC
Practice address
1723 Carriage Creek Dr
Desoto, TX 75115-3675
Phone
(214) 875-6961
Fax
(972) 780-5579
NPI assigned
Oct 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2017

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

Authorized official

Name
Kojo Anebo
Title
Administrator
Phone
(214) 868-3659

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health AideGroup: 193200000X MULTI-SPECIALTY GROUP 374U00000X Primary

Addresses

Primary practice location

1723 Carriage Creek Dr
Desoto, TX 75115-3675

Mailing address

1723 Carriage Creek Dr
Desoto, TX 75115-3675
Phone (214) 875-6961

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1507248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507248000000",
    "number": "1649780487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1723 CARRIAGE CREEK DR",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751153675",
            "telephone_number": "214-875-6961",
            "fax_number": "972-780-5579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1723 CARRIAGE CREEK DR",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751153675",
            "telephone_number": "214-875-6961",
            "fax_number": "972-780-5579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVE MARIA HOME CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-06",
        "last_updated": "2017-10-06",
        "status": "A",
        "authorized_official_last_name": "ANEBO",
        "authorized_official_first_name": "KOJO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "214-868-3659"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Desoto, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2017; 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.