Organization Active NPI

Best Dominion Healthcare Services, in

  • Home Health Agency
  • Houston, TX
National Provider Identifier
1144317207
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
009711 Issued in TX
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

Updated by the provider on Jun 17, 2024

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

Authorized official

Name
Mrs. Bolaji Kehinde Adeyemi, RNNPI 1477037463
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
001012814MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationProprietary
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 IncCCN 679410
Ownership
Proprietary
Certified
Jan 12, 2004
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Best Dominion Healthcare Services, in. Organization, Houston, TX Corporation, For-profit 5% Or Greater Direct Ownership Interest Jan 12, 2004 100%
5% Or Greater Security Interest Jul 27, 2004
Bolaji Adeyemi Individual 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.

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": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.