Provider Demographics
NPI:1477506038
Name:AKESO HEALTH SERVICES, LLC
Entity type:Organization
Organization Name:AKESO HEALTH SERVICES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:REGIONAL DIRECTOR OF COMPLIANCE
Authorized Official - Prefix:
Authorized Official - First Name:INDIRA
Authorized Official - Middle Name:
Authorized Official - Last Name:MAHABIR
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:954-260-3282
Mailing Address - Street 1:4639 CORONA DR STE 41
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78411-5426
Mailing Address - Country:US
Mailing Address - Phone:855-268-4098
Mailing Address - Fax:361-386-2018
Practice Address - Street 1:4639 CORONA DR STE 41
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78411-5426
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:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251J00000X
TX012306251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX009393OtherTEXAS HCSSA
TX1785586-01Medicaid
TX1785586-01Medicaid
TX178558601Medicaid
TX457958Medicare UPIN
TX178558601Medicaid