Individual provider Active NPI

Juliann Edenojie

  • Home Health Agency
  • Houston, TX
National Provider Identifier
1184802779
Registry record updated May 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
009375 Issued in TX
Practice address
11500 Northwest Fwy
Suite 438
Houston, TX 77092-6530
Phone
(713) 680-1141
Fax
(713) 680-1142
NPI assigned
Feb 5, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 009375 TX
Home Health Agency 251E00000X 009375 TX Primary

Addresses

Primary practice location

11500 Northwest Fwy
Suite 438
Houston, TX 77092-6530

Mailing address

11500 Northwest Fwy
Suite 438
Houston, TX 77092-6530
Phone (713) 680-1141

Other identifiers 2

IdentifierTypeStateIssuer
009375OtherTXSTATE LICENSE
180202701MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cyfair Healthcare LLC Home Health Current Accepting new patients

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Sep 1, 2016 Change of OwnershipThis provider was the seller Cyfair Healthcare LLCCCN 677926, TX, NPI 1942651658

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1202169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275264000000",
    "number": "1184802779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11500 NORTHWEST FWY",
            "address_2": "SUITE 438",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770926530",
            "telephone_number": "713-680-1141",
            "fax_number": "713-680-1142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11500 NORTHWEST FWY",
            "address_2": "SUITE 438",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770926530",
            "telephone_number": "713-680-1141",
            "fax_number": "713-680-1142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDENOJIE",
        "first_name": "JULIANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-05",
        "last_updated": "2010-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "009375",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "009375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "009375",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "180202701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.