Organization Active NPI

Naythan Agile Care,LLC

  • Personal Care Attendant
  • Round Rock, TX
National Provider Identifier
1861159089
Registry record updated Feb 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Legal business name
NAYTHAN AGILE CARE,LLC
Practice address
7113 Firenza LN
Round Rock, TX 78665-2357
Phone
(240) 482-9572
NPI assigned
Nov 22, 2021
Last updated
Feb 21, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2023

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

Authorized official

Name
Ruth Kamga Fon
Title
Administrator
Phone
(240) 482-9572

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Personal Care AttendantGroup: 193400000X SINGLE SPECIALTY GROUP 3747P1801X Primary

Addresses

Primary practice location

7113 Firenza LN
Round Rock, TX 78665-2357

Mailing address

7113 Firenza LN
Round Rock, TX 78665-2357
Phone (240) 482-9572

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": "1637539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676937600000",
    "number": "1861159089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7113 FIRENZA LN",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786652357",
            "telephone_number": "240-482-9572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7113 FIRENZA LN",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786652357",
            "telephone_number": "240-482-9572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAYTHAN AGILE CARE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-22",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A",
        "authorized_official_last_name": "FON",
        "authorized_official_first_name": "RUTH",
        "authorized_official_middle_name": "KAMGA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "240-482-9572"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.