Organization Active NPI

Savan Home Health Care LLC

  • Home Health Agency
  • Haltom City, TX
National Provider Identifier
1699172288
Registry record updated Nov 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SAVAN HOME HEALTH CARE LLC
Practice address
4209 Broadway Ave
Suite 103
Haltom City, TX 76117-3546
Phone
(614) 736-1439
NPI assigned
Nov 25, 2014
Last updated
Nov 25, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2014

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

Authorized official

Name
Khambone Vathananonh
Title
President
Phone
(614) 736-1439

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

4209 Broadway Ave
Suite 103
Haltom City, TX 76117-3546

Mailing address

4209 Broadway Ave
Suite 103
Haltom City, TX 76117-3546
Phone (614) 736-1439

National Provider Directory

National Provider Directory

Locations

4209 Broadway Ave
Ste 103
Haltom City, TX 76117
Phone (614) 736-1439

NPI Registry JSON

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

{
    "created_epoch": "1416873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416873600000",
    "number": "1699172288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4209 BROADWAY AVE",
            "address_2": "SUITE 103",
            "city": "HALTOM CITY",
            "state": "TX",
            "postal_code": "761173546",
            "telephone_number": "614-736-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4209 BROADWAY AVE",
            "address_2": "SUITE 103",
            "city": "HALTOM CITY",
            "state": "TX",
            "postal_code": "761173546",
            "telephone_number": "614-736-1439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAVAN HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-25",
        "last_updated": "2014-11-25",
        "status": "A",
        "authorized_official_last_name": "VATHANANONH",
        "authorized_official_first_name": "KHAMBONE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-736-1439"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haltom City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2014; 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.