Organization
BLUE AGAVE WOUND CARE SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD CARNEY (MEMBER LLC)
(619) 568-6800
Entity
Organization
Contact information
Practice address
10109 LAKE CREEK PKWY UNIT 170434, AUSTIN, TX 78717-0119
(844) 275-3822
Mailing address
PO BOX 170434, AUSTIN, TX 78717-0027
(844) 275-3822
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
—
—
163WW0000X
Wound Care Registered Nurse
Primary
—
—
363L00000X
Nurse Practitioner
—
—
364SH0200X
Home Health Clinical Nurse Specialist
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
11/05/2018
Last updated
11/05/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us