Provider Demographics
NPI:1477506038
Name:AKESO HEALTH SERVICES, LLC.
Entity Type:Organization
Organization Name:AKESO HEALTH SERVICES, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AO
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:210-349-0096
Mailing Address - Street 1:4646 CORONA DRIVE, SUITE #260
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78411
Mailing Address - Country:US
Mailing Address - Phone:361-334-1609
Mailing Address - Fax:361-906-0478
Practice Address - Street 1:4646 CORONA DRIVE, SUITE #260
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78411
Practice Address - Country:US
Practice Address - Phone:361-334-1609
Practice Address - Fax:361-906-0478
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-17
Last Update Date:2018-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX012306251E00000X
251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1785586-01Medicaid
TX178558601Medicaid
TX009393OtherTEXAS HCSSA
TX178558601Medicaid
TX457958Medicare UPIN
TX178558601Medicaid