OrganizationActive
Airway Support Solution LLC
NPI 1477589679 · Durable Medical Equipment & Medical Supplies · Fort Worth, TX
Provider details
- NPI number
- 1477589679
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Jeyni Aguilar, Manager(817) 563-2880
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5500 E Loop 820 S
Suite 109
Fort Worth, TX 76119-6569
Phone: (817) 563-2880
Fax: (817) 345-3528
Street-level locationGet directions
Mailing address
5500 E Loop 820 S
Fort Forth, TX 76119
Registry dates
- Enumerated
- 2006-06-23
- Last updated
- 2008-06-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.