Von Elijah Home Health Care

Primary specialty

Home Health AideTaxonomy code 374U00000X

Legal business name

VON ELIJAH HOME HEALTH CARE

Practice address

9718 Cane Creek Dr
Houston, TX 77070-2002

Phone

(832) 212-4005

NPI assigned

Nov 24, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Keeon Rudder

Title

President

Phone

(832) 212-4005

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• Von Elijah Doing business as
• Von Elijah Home Health Care, LLC Doing business as

Electronic endpoints 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1606176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606176000000",
    "number": "1033713698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9718 CANE CREEK DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770702002",
            "telephone_number": "832-212-4005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9718 CANE CREEK DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770702002",
            "telephone_number": "832-212-4005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VON ELIJAH HOME HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-24",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A",
        "authorized_official_last_name": "RUDDER",
        "authorized_official_first_name": "KEEON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "832-212-4005",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PURSUING DADS LICENSE",
            "identifier": "01",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.VonElijahHomeHealthCare.com",
            "affiliation": "N",
            "endpointDescription": "company website",
            "address_1": "9718 Cane Creek Dr",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770702002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Von Elijah",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Von Elijah Home Health Care, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Theodoros Voloyiannis, M.D.
• Phyllis A Vols, RSA RST
• Matt Brian Bermejo Voluntad
• Gretchen Von Allmen, MD
• Michelle Lynn Von Blon, MSN, AGACNP-BC
• Joseph Francisco Von Furstenberg, LMSW
• Kay Eileen Von Heeder
• Leena M. Von Hertell, MD, PHD
• Friedrich-Carl Eberhard Von Rundstedt, M.D.
• Natalie Dawn Von Wenckstern, APRN

• Home Health Aide in Houston, TX
• Providers in Houston, TX by specialty
• Home Health Aide in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.