Provider Demographics
NPI:1952346876
Name:AOC TX, LLC
Entity Type:Organization
Organization Name:AOC TX, LLC
Other - Org Name:ANGELS OF CARE PEDIATRIC HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:RIGGS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-532-1400
Mailing Address - Street 1:8001 S US HIGHWAY 75
Mailing Address - Street 2:
Mailing Address - City:SHERMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75090-5707
Mailing Address - Country:US
Mailing Address - Phone:903-532-1400
Mailing Address - Fax:903-532-1401
Practice Address - Street 1:8001 S US HIGHWAY 75
Practice Address - Street 2:
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75090-5707
Practice Address - Country:US
Practice Address - Phone:903-532-1400
Practice Address - Fax:903-532-1401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-17
Last Update Date:2019-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX010691251B00000X, 251E00000X, 251F00000X, 3747P1801X
251J00000X, 372500000X, 3747P1801X, 385H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Multi-Specialty
No251B00000XAgenciesCase ManagementGroup - Multi-Specialty
No251F00000XAgenciesHome InfusionGroup - Multi-Specialty
No251J00000XAgenciesNursing CareGroup - Multi-Specialty
No372500000XNursing Service Related ProvidersChore ProviderGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
No385H00000XRespite Care FacilityRespite Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXN/AOtherMOLINA HEALTHCARE - TEXAS TRUE CHOICE, STAR PLUS
TXN/AOtherAETNA HMO
TXN/AOtherCCP STATE WIDE
TX679141Medicare PIN
TXN/AOtherAETNA
TXN/AOtherBCBS
TXN/AOtherCARECENTRIX
TXN/AOtherMDCP STATE WIDE
TXN/AOtherTEXAS TRUE CHOICE, CHIPS, STAR PLUS
TXN/AOtherPARKLAND COMMUNITY HEALTH PLAN MEDICAID HMO
TXN/AOtherAETNA MEDICAID HMO
TXN/AOtherUNITED HEALTHCARE
TXN/AOtherPCS STATE WIDE
TX45D0987834OtherCLIA
TXN/AOtherSUPERIOR MEDICAID HMO, CHIPS, STAR PLUS
TXN/AOtherUNICARE MEDICAID HMO, CHIPS
TXN/AOtherAMERIGROUP MEDICAID HMO
TXN/AOtherCOOK CHILDRENS HEALTH PLAN MEDICAID HMO, CHIPS
TXN/AOtherBRAVO HEALTH, STAR PLUS
TXN/AOtherCDS STATE WIDE