NPIMap

Organization Active NPI

Evg Ventures, LLC

  • In Home Supportive Care Agency
  • Dallas, TX
National Provider Identifier
1790469112
Registry record updated Jun 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
EVG VENTURES, LLC
Doing business as
Amada Senior Care of Central Dallas
Practice address
14330 Midway Rd Ste 100
Dallas, TX 75244-3513
Phone
(214) 550-5040
NPI assigned
Jun 14, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2023

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

Authorized official

Name
Eric VangoethemNPI 1720581341
Title
Owner
Phone
(334) 663-2333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

14330 Midway Rd Ste 100
Dallas, TX 75244-3513

Mailing address

14330 Midway Rd Ste 100
Dallas, TX 75244-3513
Phone (214) 550-5040

Other names 1

  • Amada Senior Care of Central Dallas Doing business as

National Provider Directory

National Provider Directory

Locations

14330 Midway Rd
Ste 100
Farmers Branch, TX 75244
Phone (214) 319-7772

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686700800000",
    "number": "1790469112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14330 MIDWAY RD STE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752443513",
            "telephone_number": "214-550-5040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14330 MIDWAY RD STE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752443513",
            "telephone_number": "214-550-5040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVG VENTURES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-14",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A",
        "authorized_official_last_name": "VANGOETHEM",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-663-2333"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amada Senior Care of Central Dallas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.