Individual provider Active NPI

Harley Adamu

  • Licensed Vocational Nurse
  • Sugar Land, TX
National Provider Identifier
1194173039
Registry record updated Jun 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
310992 Issued in TX
Practice address
16430 Ash Point LN
Sugar Land, TX 77498-7139
Phone
(641) 777-7793
NPI assigned
Jun 1, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 310992 TX Primary

Addresses

Primary practice location

16430 Ash Point LN
Sugar Land, TX 77498-7139

Mailing address

16430 Ash Point LN
Sugar Land, TX 77498-7139
Phone (641) 777-7793

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

State licenses

LicenseStateTypeSpecialty
310992TXMDLicensed Vocational Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Benevida Healthcare Services Inc Current Accepting new patients
Priority Home Health Care Inc Current Accepting new patients

Organizations & group practices 2

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": "1464739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464739200000",
    "number": "1194173039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16430 ASH POINT LN",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774987139",
            "telephone_number": "641-777-7793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16430 ASH POINT LN",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774987139",
            "telephone_number": "641-777-7793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMU",
        "first_name": "HARLEY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-01",
        "last_updated": "2016-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "310992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2016; 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.