Organization Active NPI

Cheyenne Total Care LLC

  • Home Health Aide
  • Princeton, TX
National Provider Identifier
1821988155
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Legal business name
CHEYENNE TOTAL CARE LLC
Practice address
2020 Shady Glen TRL
Princeton, TX 75407-2660
Phone
(469) 844-4122
Fax
(469) 590-0020
NPI assigned
Jul 8, 2025
Last updated
Jul 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2025

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

Authorized official

Name
Mrs. Octavia AllenNPI 1144110461
Title
Owner
Phone
(213) 268-4577

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
Home Health Aide 374U00000X NU Primary

Addresses

Primary practice location

2020 Shady Glen TRL
Princeton, TX 75407-2660

Mailing address

2020 Shady Glen TRL
Princeton, TX 75407-2660
Phone (469) 844-4122

Other identifiers 1

IdentifierTypeStateIssuer
1144110461MedicaidTX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1751932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751932800000",
    "number": "1821988155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 SHADY GLEN TRL",
            "city": "PRINCETON",
            "state": "TX",
            "postal_code": "754072660",
            "telephone_number": "469-844-4122",
            "fax_number": "469-590-0020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 SHADY GLEN TRL",
            "city": "PRINCETON",
            "state": "TX",
            "postal_code": "754072660",
            "telephone_number": "469-844-4122",
            "fax_number": "469-590-0020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEYENNE TOTAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-08",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "OCTAVIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "213-268-4577",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1144110461",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.