Koppolu Incorporated

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

KOPPOLU INCORPORATED

Doing business as

FirstLight Home Care of Liberty Hill
FirstLight Home Care of Liberty Hill TX

Practice address

9025 Highway
Suite 207
Liberty Hill, TX 78642-2402

Phone

(512) 641-2318

Fax

(512) 641-2387

NPI assigned

Nov 13, 2024

Last updated

Feb 4, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Chanakya Venkata Koppolu

Title

President

Phone

(512) 641-2318

Specialties & licenses 1

Addresses

Other names 2

• FirstLight Home Care of Liberty Hill Doing business as
• FirstLight Home Care of Liberty Hill TX Doing business as

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

{
    "created_epoch": "1731456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738627200000",
    "number": "1720802945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9025 HIGHWAY 29",
            "address_2": "SUITE 207",
            "city": "LIBERTY HILL",
            "state": "TX",
            "postal_code": "786422402",
            "telephone_number": "512-641-2318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9025 HIGHWAY",
            "address_2": "SUITE 207",
            "city": "LIBERTY HILL",
            "state": "TX",
            "postal_code": "786422402",
            "telephone_number": "512-641-2318",
            "fax_number": "512-641-2387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOPPOLU INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-13",
        "last_updated": "2025-02-04",
        "certification_date": "2025-01-31",
        "status": "A",
        "authorized_official_last_name": "KOPPOLU",
        "authorized_official_first_name": "CHANAKYA",
        "authorized_official_middle_name": "VENKATA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-641-2318",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FirstLight Home Care of Liberty Hill",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FirstLight Home Care of Liberty Hill",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FirstLight Home Care of Liberty Hill TX",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in Liberty Hill, TX
• Providers in Liberty Hill, TX by specialty
• In Home Supportive Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; 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.