DMG Home Healthcare Services, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

012764 Issued in TX

Legal business name

DMG HOME HEALTHCARE SERVICES, INC

Doing business as

DBA Kingwood Home Health

Practice address

9898 Bissonnet Street
Suite 593
Houston, TX 77036

Phone

(713) 623-1062

Fax

(713) 623-1063

NPI assigned

Jul 29, 2009

Last updated

Oct 11, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Moses O Gbolabo

Title

Owner/President/Ceo

Phone

(713) 623-1062

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• DBA Kingwood Home Health Doing business as

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

{
    "created_epoch": "1248825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349913600000",
    "number": "1053542860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9898 BISSONNET STREET",
            "address_2": "SUITE 593",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77036",
            "telephone_number": "713-623-1062",
            "fax_number": "713-623-1063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9898 BISSONNET STREET",
            "address_2": "SUITE 593",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77036",
            "telephone_number": "713-623-1062",
            "fax_number": "713-623-1063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DMG HOME HEALTHCARE SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-29",
        "last_updated": "2012-10-11",
        "status": "A",
        "authorized_official_last_name": "GBOLABO",
        "authorized_official_first_name": "MOSES",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER/PRESIDENT/CEO",
        "authorized_official_telephone_number": "713-623-1062",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "012764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "214547601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBA Kingwood Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2012; 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.