Avendelle Assisted Living DFW LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

AVENDELLE ASSISTED LIVING DFW LLC

Doing business as

Optimal Cares @Home
Optimal Cares at Home

Practice address

3925 Royal LN
Dallas, TX 75229-4048

Phone

(415) 359-7998

NPI assigned

Jan 28, 2022

Last updated

Sep 30, 2024By 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

Ajoy Khandheria

Title

President

Phone

(415) 359-7998

Specialties & licenses 2

Addresses

Other names 2

• Optimal Cares @Home Doing business as
• Optimal Cares at Home Doing business as

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

{
    "created_epoch": "1643328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727654400000",
    "number": "1902559156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5148 PARADISE DR",
            "city": "CORTE MADERA",
            "state": "CA",
            "postal_code": "949252106",
            "telephone_number": "415-359-7998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3925 ROYAL LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752294048",
            "telephone_number": "415-359-7998"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10830 N Central Expy Ste 375",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752312148",
            "country_code": "US",
            "telephone_number": "469-902-4644",
            "fax_number": "469-694-8448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AVENDELLE ASSISTED LIVING DFW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-28",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A",
        "authorized_official_last_name": "KHANDHERIA",
        "authorized_official_first_name": "AJOY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-359-7998"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optimal Cares @Home",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Optimal Cares at Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in Dallas, TX
• Providers in Dallas, 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 Sep 30, 2024; 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.