NPIMap

Organization Active NPI

Bienville Holdings, LTD

  • Home Health Agency
  • Tyler, TX
National Provider Identifier
1689887721
Registry record updated Mar 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
007113 Issued in TX
Legal business name
BIENVILLE HOLDINGS, LTD
Doing business as
At Home Healthcare
Practice address
9846 State Highway 31 E
Tyler, TX 75705-2329
Phone
(903) 593-9945
Fax
(903) 525-3861
NPI assigned
May 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2023

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

Authorized official

Name
Angie Martin
Title
Licensing Manager
Phone
(903) 787-7609

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 007113 TX Primary

Addresses

Primary practice location

9846 State Highway 31 E
Tyler, TX 75705-2329

Mailing address

9846 State Highway 31 E
Tyler, TX 75705-2329
Phone (903) 592-8001

Other identifiers 1

IdentifierTypeStateIssuer
001001161MedicaidTX

Other names 1

  • At Home Healthcare Doing business as

National Provider Directory

National Provider Directory
Tax ID family
At Home Healthcare2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679616000000",
    "number": "1689887721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9846 STATE HIGHWAY 31 E",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757052329",
            "telephone_number": "903-592-8001",
            "fax_number": "903-581-6918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9846 STATE HIGHWAY 31 E",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757052329",
            "telephone_number": "903-593-9945",
            "fax_number": "903-525-3861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIENVILLE HOLDINGS, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-24",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_title_or_position": "LICENSING MANAGER",
        "authorized_official_telephone_number": "903-787-7609"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "007113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001001161",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "At Home Healthcare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "At Home Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.