Aventura Home Health LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

AVENTURA HOME HEALTH LLC

Practice address

409 Orchard Hill Dr
Southlake, TX 76092-2221

Phone

(817) 343-5642

NPI assigned

Nov 5, 2011

Organization subpart

No

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

Authorized official

Name

Olusegun Wilde

Title

Ceo

Phone

(817) 343-5642

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1320451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320451200000",
    "number": "1932486842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 ORCHARD HILL DR",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760922221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 ORCHARD HILL DR",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760922221",
            "telephone_number": "817-343-5642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVENTURA HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-05",
        "last_updated": "2011-11-05",
        "status": "A",
        "authorized_official_last_name": "WILDE",
        "authorized_official_first_name": "OLUSEGUN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "817-343-5642"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2011; 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.