Organization Active NPI

Life Boost Healthcare LLC

Doing business as Tisha Home Care

  • In Home Supportive Care Agency
  • Houston, TX
National Provider Identifier
1154214500
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
LIFE BOOST HEALTHCARE LLC
Doing business as
Tisha Home Care
Practice address
9896 Bissonnet St
Houston, TX 77036-8104
Phone
(281) 882-9428
NPI assigned
Jun 2, 2025
Last updated
Jun 9, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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

Authorized official

Name
Charles Edah
Title
Administrator
Phone
(281) 882-9428

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary
Personal Care AttendantGroup: 193400000X SINGLE SPECIALTY GROUP 3747P1801X

Addresses

Primary practice location

9896 Bissonnet St
Houston, TX 77036-8104

Mailing address

21422 Doral Rose LN
Katy, TX 77449-6813

Other names 1

  • Tisha Home Care Doing business as

National Provider Directory

National Provider Directory

Locations

9896 Bissonnet St
Houston, TX 77036
Phone (281) 882-9428

NPI Registry JSON

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

{
    "created_epoch": "1748822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749427200000",
    "number": "1154214500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21422 DORAL ROSE LN",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774496813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9896 BISSONNET ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770368104",
            "telephone_number": "281-882-9428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE BOOST HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-02",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A",
        "authorized_official_last_name": "EDAH",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "281-882-9428"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tisha Home Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tisha Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; 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.