Active NPI
Best Dominion Healthcare Services, in
- Home Health Agency
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 009711
- Legal business name
- BEST DOMINION HEALTHCARE SERVICES, IN
- Practice address
- 11510 W Bellfort Ave
Houston, TX 77099-4657 - Phone
- (713) 266-0250
- Fax
- (713) 266-0256
- NPI assigned
- Oct 9, 2006
- 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
- Mrs. Bolaji Kehinde Adeyemi, RN
- Title
- Administrator/Don
- Phone
- (713) 266-0250
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 009711 | TX | Primary |
Addresses
Primary practice location
11510 W Bellfort Ave
Houston, TX 77099-4657
Mailing address
11510 W Bellfort Ave
Houston, TX 77099-4657
Phone (713) 266-0250
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001012814 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031215000813 | TX | Part A Provider - Home Health Agency | 4587561949 | Practice locations: Houston, TX |
Home health agency certification: CCN 679410
- Legal name
- BEST DOMINION HEALTHCARE SERVICES, IN.
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jan 12, 2004
- Last certification
- Mar 18, 2021
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Jul 27, 2004 in TX
- Enrollment address
- 11510 W Bellfort Ave
Houston, TX 77099-4657
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Best Dominion Healthcare Services Inc
- Ownership
- Proprietary
- Certified
- Jan 12, 2004
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryLocations
10103 Fondren Rd
Ste 375
Houston, TX 77096
Phone (713) 271-7735
9950 Westpark Dr
Ste 306
Houston, TX 77063
Ownership & related parties
All disclosed owners & managing parties 2
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Best Dominion Healthcare Services, in. | 5% Or Greater Direct Ownership Interest | Jan 12, 2004 | 100% |
| 5% Or Greater Security Interest | Jul 27, 2004 | ||
| Bolaji Adeyemi | Corporate Director | Dec 6, 2007 | |
| W-2 Managing Employee | Dec 6, 2007 |
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Registered Nurse
- Houston, TX
- NPI 1477037463
-
- Home Health Aide
- Houston, TX
- NPI 1407338866
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160352000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1718582400000",
"number": "1144317207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11510 W BELLFORT AVE",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770994657",
"telephone_number": "713-266-0250",
"fax_number": "713-266-0256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11510 W BELLFORT AVE",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770994657",
"telephone_number": "713-266-0250",
"fax_number": "713-266-0256"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEST DOMINION HEALTHCARE SERVICES, IN",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-09",
"last_updated": "2024-06-17",
"certification_date": "2023-11-20",
"status": "A",
"authorized_official_last_name": "ADEYEMI",
"authorized_official_first_name": "BOLAJI",
"authorized_official_middle_name": "KEHINDE",
"authorized_official_title_or_position": "ADMINISTRATOR/DON",
"authorized_official_telephone_number": "713-266-0250",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "TX",
"license": "009711",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001012814",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.