Organization Active NPI

Nova Family Health and Wellness Clinic LLC

  • Public Health or Welfare Agency
  • Houston, TX
National Provider Identifier
1154919892
Registry record updated Sep 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
NOVA FAMILY HEALTH AND WELLNESS CLINIC LLC
Practice address
1001 S Dairy Ashford Rd Ste 100-171
Houston, TX 77077-2375
Phone
(614) 599-3900
Fax
(281) 346-8625
NPI assigned
Jan 7, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2021

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

Authorized official

Name
Dr. Edith Emenike - Ogboru, FNP
Title
Owner
Phone
(614) 599-3900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

1001 S Dairy Ashford Rd Ste 100-171
Houston, TX 77077-2375

Mailing address

29127 Garden River CT
Fulshear, TX 77441-1778
Phone (161) 459-9390

National Provider Directory

National Provider Directory

Locations

1001 S Dairy Ashford Rd
Ste 100171
Houston, TX 77077
Phone (614) 599-3900

NPI Registry JSON

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

{
    "created_epoch": "1609977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630800000000",
    "number": "1154919892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29127 GARDEN RIVER CT",
            "city": "FULSHEAR",
            "state": "TX",
            "postal_code": "774411778",
            "telephone_number": "161-459-9390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 S DAIRY ASHFORD RD STE 100-171",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770772375",
            "telephone_number": "614-599-3900",
            "fax_number": "281-346-8625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA FAMILY HEALTH AND WELLNESS CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-07",
        "last_updated": "2021-09-05",
        "certification_date": "2021-09-05",
        "status": "A",
        "authorized_official_last_name": "EMENIKE - OGBORU",
        "authorized_official_first_name": "EDITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-599-3900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 5, 2021; 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.