LA STUPENDA


Address: 12403 Mellow Meadow Dr Apt 8108, Austin, TX 78750-1957
Phone: 8324668493

LA STUPENDA (NPI# 1083243679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083243679
Entity Type Organization
Organization Name LA STUPENDA
Practice Address 12403 Mellow Meadow Dr Apt 8108
Austin
TX 78750-1957
Practice Telephone 8324668493
Mailing Telephone 8324668493
Enumeration Date 2020-04-06
Last Update Date 2020-04-06
Authorized Official Name KAZEEM SEYI OLADIPO (HEAD OF AGENCY)
Authorized Official Telephone 8324668493
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251E00000X Home Health Agencies

Office Location

Street Address 12403 MELLOW MEADOW DR APT 8108
City AUSTIN
State TX
Zip Code 78750-1957

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Taxonomy Information

Taxonomy Code 251E00000X
Grouping Agencies
Classification Home Health

Taxonomy Definition

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added]

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1598387763 Faith and Care Services Home Health 7608 Cayenne Ln, Austin, TX 78741-7531 2020-05-11
1407403488 Joyous Home Healthcare Services, LLC Home Health 11113 Furrow Hill Dr, Austin, TX 78754-6115 2019-08-23
1598318529 Hightingale Homecare Services Inc Home Health 12608 Esplanade St, Austin, TX 78727-4411 2019-07-18
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1356807861 Austin Home Health Supplies LLC Home Health 8906 Wall St Ste 702, Austin, TX 78754-4546 2019-02-20
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1154818706 First Divine Home Healthcare Agency Inc. Home Health 7901 Cameron Rd Ste 302, Austin, TX 78754-3831 2018-04-19
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Competitor

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City AUSTIN
Zip Code 78750

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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