Eternal Healthcare Center, Inc

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

005283 Issued in TX

Legal business name

ETERNAL HEALTHCARE CENTER, INC

Practice address

7457 Harwin Dr Ste 141
Houston, TX 77036-2093

Phone

(713) 783-8507

Fax

(713) 783-8514

NPI assigned

Apr 6, 2007

Organization subpart

No

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

Authorized official

Name

Loretta Okungbowa

Title

Adminstrator

Phone

(713) 783-8507

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606089600000",
    "number": "1063535128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7457 HARWIN DR STE 141",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770362093",
            "telephone_number": "713-783-8507",
            "fax_number": "713-783-8514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7457 HARWIN DR STE 141",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770362093",
            "telephone_number": "713-783-8507",
            "fax_number": "713-783-8514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETERNAL HEALTHCARE CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A",
        "authorized_official_last_name": "OKUNGBOWA",
        "authorized_official_first_name": "LORETTA",
        "authorized_official_title_or_position": "ADMINSTRATOR",
        "authorized_official_telephone_number": "713-783-8507"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "TX",
            "license": "005283",
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mikel Etchegaray-Langley, MD
• Shannon Marie Etcheverry, LCSW
• Peters Ako Etchu, NP
• Asia Eter, MD
• Eterna Health and Wellness PLLC
• Eternal Light Hospice, Inc
• Katayoun Etessami
• Katherine Etgen, BCBA
• Ethan Truong DDS of Houston PLLC
• Ethel Row, LLC

• Preferred Provider Organization in Houston, TX
• Providers in Houston, TX by specialty
• Preferred Provider Organization in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.