NPIMap

Organization Active NPI

Epic Health Services, Inc.

Doing business as Aveanna Healthcare

  • Home Health Agency
  • Dallas, TX
National Provider Identifier
1790926574
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
015022 Issued in TX
Legal business name
EPIC HEALTH SERVICES, INC.
Doing business as
Aveanna Healthcare
Practice address
1349 Empire Central Dr Ste 516
Dallas, TX 75247-4066
Phone
(469) 364-8600
Fax
(469) 364-8595
NPI assigned
Mar 9, 2009
Last updated
Jan 27, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Authorized official

Name
Matthew Buckhalter
Title
Cfo
Phone
(470) 464-8000

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU
Home Health Agency 251E00000X 015022 TX Primary
Nursing Care Agency 251J00000X NU

Addresses

Primary practice location

1349 Empire Central Dr Ste 516
Dallas, TX 75247-4066

Mailing address

400 Interstate North Pkwy SE Ste 1600
Atlanta, GA 30339-5047
Phone (470) 464-8000

Other practice location 1

18640 Lbj Fwy Ste 200
Mesquite, TX 75150-5631
Phone (469) 518-7762

Other practice location 2

930 W Centerville Rd Ste D
Garland, TX 75041-5823
Phone (972) 303-7021

Other identifiers 1

IdentifierTypeStateIssuer
204781301MedicaidTX

Other names 1

  • Aveanna Healthcare Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1062214Epic Health Services, Inc Dba Aveanna Healthcare18640 LBJ Freeway, Suite 200, Mesquite, TX 75150Certificate of waiverDec 7, 2026
45D2002046Epic Health Services, Inc1349 Empire Central Drive, Suite 516, Dallas, TX 75247Certificate of waiverJan 5, 2028

National Provider Directory

National Provider Directory
Tax ID family
Epic Medstaff Home Healthcare Dallas Inc37 organizations share this tax ID, including this one

Other organizations with this tax ID 36

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

View all 36

Locations

1349 Empire Central Dr
Ste 516
Dallas, TX 75247
Phone (469) 364-8600

930 W Centerville Rd
Ste D
Garland, TX 75041
Phone (972) 303-7021

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1236556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737936000000",
    "number": "1790926574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 INTERSTATE NORTH PKWY SE STE 1600",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303395047",
            "telephone_number": "470-464-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1349 EMPIRE CENTRAL DR STE 516",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752474066",
            "telephone_number": "469-364-8600",
            "fax_number": "469-364-8595"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18640 Lbj Fwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Mesquite",
            "state": "TX",
            "postal_code": "751505631",
            "country_code": "US",
            "telephone_number": "469-518-7762",
            "fax_number": "469-518-7769",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "930 W Centerville Rd Ste D",
            "address_purpose": "LOCATION",
            "city": "Garland",
            "state": "TX",
            "postal_code": "750415823",
            "country_code": "US",
            "telephone_number": "972-303-7021",
            "fax_number": "214-265-0737",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EPIC HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-09",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A",
        "authorized_official_last_name": "BUCKHALTER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "470-464-8000"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "015022",
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "204781301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aveanna Healthcare",
            "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 Jan 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.