NPIMap

Organization Active NPI

Trinidad Perez

Doing business as Healthquest

  • Home Health Agency
  • College Station, TX
National Provider Identifier
1063554509
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
010639 Issued in TX
Legal business name
TRINIDAD PEREZ
Doing business as
Healthquest
Practice address
3800 State Highway 6 S Ste 108C
College Station, TX 77845-5840
Phone
(979) 846-7870
Fax
(979) 846-7872
NPI assigned
Feb 13, 2007
Last updated
Apr 24, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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

Authorized official

Name
Mr. George Watkins
Title
Administrator
Phone
(979) 846-7870

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 010639 TX Primary

Addresses

Primary practice location

3800 State Highway 6 S Ste 108C
College Station, TX 77845-5840

Mailing address

3800 State Highway 6 S Ste 108C
College Station, TX 77845-5840
Phone (979) 846-7870

Other names 1

  • Healthquest Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070213000245 TX Part A Provider - Home Health Agency 8123020765 Practice locations: College Station, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1063554509. Details of each certification follow.

Home health agency certification: CCN 679685

Legal name
TRINIDAD PEREZ
Doing business as
HEALTHQUEST
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 1, 2007
Last certification
Sep 6, 2019
Ownership / control type
Proprietary
Organization structure
OtherProprietary
Enrollment address
3800 State Highway 6 S
Ste 108C
College Station, TX 77845-5840

Care Compare: Home health agency

Medicare Care Compare
Listed as
HealthquestCCN 679685 · All quality measures
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Nov 1, 2007
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, Occupational therapy

National Provider Directory

National Provider Directory

Locations

3501 S Texas Ave
Ste 202
Bryan, TX 77802
Phone (979) 422-2044

3800 State Highway 6 S
Ste 108C
College Station, TX 77845
Phone (979) 846-7870

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Kimberly R John Individual W-2 Managing EmployeeAdministrator Jun 1, 2017 30%
Trinidad Perez Individual 5% Or Greater Direct Ownership Interest Mar 28, 2012 100%
Corporate OfficerOwner, Board Member Jun 1, 2017 40%
George Watkins Individual W-2 Managing EmployeeCeo, Alternate Administrator Jun 1, 2017

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 12

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713916800000",
    "number": "1063554509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 STATE HIGHWAY 6 S STE 108C",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778455840",
            "telephone_number": "979-846-7870",
            "fax_number": "979-846-7872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 STATE HIGHWAY 6 S STE 108C",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778455840",
            "telephone_number": "979-846-7870",
            "fax_number": "979-846-7872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINIDAD PEREZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A",
        "authorized_official_last_name": "WATKINS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "979-846-7870",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "010639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthquest",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in College Station, TX

Sources for this page

Verify at the official NPI Registry.