HOMEDICA OF TEXAS LLC (NPI# 1730534652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730534652 |
| Entity Type | Organization |
| Organization Name | HOMEDICA OF TEXAS LLC |
| Practice Address |
17200 Tomball Pkwy Suite 250 A Houston TX 77064-1184 |
| Mailing Address |
10615 Jefferson Hwy Baton Rouge LA 70809-7230 |
| Practice Telephone | 2257664133 |
| Mailing Telephone | 2253683181 |
| Enumeration Date | 2016-04-28 |
| Last Update Date | 2016-06-06 |
| Authorized Official Name | PATRICK MITCHELL (MANAGER) |
| Authorized Official Telephone | 2253683181 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
17200 TOMBALL PKWY SUITE 250 A |
| City | HOUSTON |
| State | TX |
| Zip Code | 77064-1184 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962450759 | Amedisys Texas LLC | Home Health | 17200 Tomball Pkwy, Suite 250, Houston, TX 77064-1184 | 2006-05-04 |
| 1386076552 | Cantex Home Health Tomball LLC | Home Health | 17200 Tomball Pkwy, Suite 250, Houston, TX 77064-1184 | 2013-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326664475 | Khanh Pham | Optometrist | 17282 Tx-249, Houston, TX 77064 | 2020-06-24 |
| 1427672047 | 5203 Crest Ridge Drive | Nursing Care | 10050 West Road, Houston, TX 77064 | 2020-05-29 |
| 1467936641 | Krishelle Lagman | Specialist/Technologist | 17314 Tx-249, Ste 230, Houston, TX 77064 | 2018-09-24 |
| 1689192544 | Joshua Lee Trevino | In Home Supportive Care | 10802 Legacy Park Dr #10207, Houston, TX 77064 | 2017-08-31 |
| 1487178224 | Angle Homecare Corporation | Home Health | 10518 Encino Pass Trl, Houston, TX 77064 | 2017-08-02 |
| 1174984538 | Stephanie Branch | Occupational Therapy Assistant | 17200 Tx Hwy 249, Suite 150, Houston, TX 77064 | 2016-03-14 |
| 1710389333 | Ma Corazon Ann Garcia | Registered Nurse | 9506 Summer Run Dr, Houston, TX 77064 | 2014-09-25 |
| 1144640194 | Krystal Sennet | Speech-Language Pathologist | 17200 Tx-249, Suite 150, Houston, TX 77064 | 2014-04-17 |
| 1770908212 | Debra Norvick | Physical Therapy Assistant | 17200 Hwy 249 Suite 150, Houston, TX 77064 | 2014-02-20 |
| 1831442623 | Meagan Rivas | Speech-Language Pathologist | 17200 Hwy 249, 170, Houston, TX 77064 | 2012-10-18 |
| Find all providers in zip 77064 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487255162 | Shaida Rahmatinick | Nurse Practitioner | 1515 W 22nd St, Houston, TX 77008-1501 | 2020-11-08 |
| 1104426311 | Erin Krim Gordon | Nurse Practitioner | 2202 Quenby St, Houston, TX 77005-1502 | 2020-10-27 |
| 1003415902 | Hope Ozumba | Nurse Practitioner | 8544 Dairy View Ln, Houston, TX 77072-3907 | 2020-10-21 |
| 1487253761 | Khanh Vu Phuong Nguyen | Nurse Practitioner | 13218 Bellaire Bld, Houston, TX 77083 | 2020-10-19 |
| 1962001362 | Eshcol Clinic | Nurse Practitioner | 9935 Bissonnet St Unit B, Houston, TX 77036-8413 | 2020-10-19 |
| 1013516483 | Shazia Mominkhawaja | Nurse Practitioner | 2222 Greenhouse Rd Ste 400, Houston, TX 77084-7288 | 2020-10-18 |
| 1851908610 | Iyobo Elegon | Nurse Practitioner | 8511 Dawnridge Dr, Houston, TX 77071-2441 | 2020-09-25 |
| 1548877541 | Lifespan Psychiatry and Wellness Center Pllc | Nurse Practitioner | 8700 Commerce Park Dr Ste 220, Houston, TX 77036-7431 | 2020-09-24 |
| 1811503345 | Alyssa Cory Hildebrand | Nurse Practitioner | 2450 Fondren Rd Ste 111, Houston, TX 77063-2314 | 2020-09-21 |
| 1245846088 | Adriana Ortiz | Nurse Practitioner | 7218 Shady Corners Ln, Houston, TX 77040-4733 | 2020-09-17 |
| Find all providers in HOUSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.