Active NPI
Babyboomers Homecare LLC
- In Home Supportive Care Agency
- Stafford, TX
National Provider Identifier
1134411366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- BABYBOOMERS HOMECARE LLC
- Practice address
- 630 Colony Lake Estates Dr Apt 428
Stafford, TX 77477-4667 - Phone
- (713) 876-3872
- NPI assigned
- May 5, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Mohammad A Subedar
- Title
- Administrator
- Phone
- (713) 876-3872
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
630 Colony Lake Estates Dr Apt 428
Stafford, TX 77477-4667
Mailing address
1711 James Bowie Dr Apt 504
Baytown, TX 77520-3309
Phone (713) 876-3872
Other names 1
- Lone Star Homecare
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304553600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1304553600000",
"number": "1134411366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1711 JAMES BOWIE DR APT 504",
"city": "BAYTOWN",
"state": "TX",
"postal_code": "775203309",
"telephone_number": "713-876-3872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 COLONY LAKE ESTATES DR APT 428",
"city": "STAFFORD",
"state": "TX",
"postal_code": "774774667",
"telephone_number": "713-876-3872"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BABYBOOMERS HOMECARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-05-05",
"last_updated": "2011-05-05",
"status": "A",
"authorized_official_last_name": "SUBEDAR",
"authorized_official_first_name": "MOHAMMAD",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "713-876-3872",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Lone Star Homecare",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Stafford, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.