Organization Active NPI

Andover Home Health Care,LLC

  • Personal Care Attendant
  • Lewisville, TX
National Provider Identifier
1972006492
Registry record updated Apr 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Legal business name
ANDOVER HOME HEALTH CARE,LLC
Practice address
2012 Piedmont Dr
Lewisville, TX 75067-7898
Phone
(817) 851-4172
NPI assigned
Mar 11, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2019

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

Authorized official

Name
Thomas BwisaNPI 1043547086
Title
Owner
Phone
(817) 851-4172

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
Personal Care AttendantGroup: 193400000X SINGLE SPECIALTY GROUP 3747P1801X Primary

Addresses

Primary practice location

2012 Piedmont Dr
Lewisville, TX 75067-7898

Mailing address

2012 Piedmont Dr
Lewisville, TX 75067-7898
Phone (817) 851-4172

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.

NPI Registry JSON

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

{
    "created_epoch": "1520726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555891200000",
    "number": "1972006492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2012 PIEDMONT DR",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750677898",
            "telephone_number": "817-851-4172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2012 PIEDMONT DR",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750677898",
            "telephone_number": "817-851-4172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDOVER HOME HEALTH CARE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-11",
        "last_updated": "2019-04-22",
        "status": "A",
        "authorized_official_last_name": "BWISA",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-851-4172"
    },
    "taxonomies": [
        {
            "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 Lewisville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2019; 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.