Healthcare Provider Details

I. General information

NPI: 1316854540
Provider Name (Legal Business Name): AVATARA CARE SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 W OAK ST STE 309
DENTON TX
76201-9109
US

IV. Provider business mailing address

300 STATE ST UNIT 92068
SOUTHLAKE TX
76092-1202
US

V. Phone/Fax

Practice location:
  • Phone: 913-579-1399
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: KIRAN CHELLURI
Title or Position: MANAGER
Credential:
Phone: 913-579-1399