Organization
BLUE AGAVE WOUND CARE SOLUTIONS LLC
Active
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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up