NPIMap

Organization Active NPI

Travis Holdings Inc

  • In Home Supportive Care Agency
  • Augusta, GA
National Provider Identifier
1669853198
Registry record updated Jun 10, 2015
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Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
121R1368 Issued in GA
Legal business name
TRAVIS HOLDINGS INC
Practice address
111 10TH St
Augusta, GA 30901-1136
Phone
(706) 823-8201
NPI assigned
Jun 10, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2015

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

Authorized official

Name
Travis Hixon
Title
President
Phone
(706) 799-0257

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 121R1368 GA Primary
In Home Supportive Care Agency 253Z00000X IHCP0035 SC

Addresses

Primary practice location

111 10TH St
Augusta, GA 30901-1136

Mailing address

111 10TH St
Augusta, GA 30901-1136
Phone (706) 823-8201

Other names 1

  • Synergy HomeCare Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1433894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433894400000",
    "number": "1669853198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 10TH ST",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309011136",
            "telephone_number": "706-823-8201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 10TH ST",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309011136",
            "telephone_number": "706-823-8201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAVIS HOLDINGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-10",
        "last_updated": "2015-06-10",
        "status": "A",
        "authorized_official_last_name": "HIXON",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-799-0257"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "GA",
            "license": "121R1368",
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "SC",
            "license": "IHCP0035",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Synergy HomeCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Augusta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2015; 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.