Organization Active NPI

Midland Health Care Services,Inc.

  • Home Health Agency
  • Houston, TX
National Provider Identifier
1194917260
Registry record updated May 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
011219 Issued in TX
Legal business name
MIDLAND HEALTH CARE SERVICES,INC.
Practice address
7402 Pavilion Dr
Houston, TX 77083-6927
Phone
(832) 886-4539
Fax
(832) 886-4690
NPI assigned
Aug 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2019

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

Authorized official

Name
Mrs. Alice Ita UdeobongNPI 1700966579
Title
Administrator
Phone
(832) 886-4539

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 011219 TX Primary

Addresses

Primary practice location

7402 Pavilion Dr
Houston, TX 77083-6927

Mailing address

7402 Pavilion Dr
Houston, TX 77083-6927
Phone (832) 886-4539

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070809000020 TX Part A Provider - Home Health Agency 8426149253 Practice locations: Houston, TX

Home health agency certification: CCN 743111

Legal name
MIDLAND HEALTH CARE SERVICES,INC.
Doing business as
MIDLAND HEALTH CARE SERVICES INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 3, 2008
Last certification
Aug 27, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jul 12, 2006 in TX
Enrollment address
7402 Pavilion Dr
Houston, TX 77083-6927

Care Compare: Home health agency

Medicare Care Compare
Listed as
Midland Health Care Services IncCCN 743111
Ownership
Proprietary
Certified
Jul 3, 2008
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1061594Midland Health Care Services, Inc7402 Pavilion Dr, Houston, TX 77083Certificate of waiverOct 22, 2026

National Provider Directory

National Provider Directory

Locations

630 Murphy Rd
Ste 111
Stafford, TX 77477
Phone (281) 741-3744

12919 Southwest Fwy
Ste 140
Stafford, TX 77477
Phone (832) 886-4539

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
Dinh Nguyen Individual 5% Or Greater Direct Ownership Interest Mar 10, 2023 100%
Aaron Crown Individual Corporate Officer Oct 20, 2017
W-2 Managing Employee Jul 12, 2006

Practitioners & affiliated clinicians

Practitioners 1

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": "1186963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557705600000",
    "number": "1194917260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7402 PAVILION DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770836927",
            "telephone_number": "832-886-4539",
            "fax_number": "832-886-4690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7402 PAVILION DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770836927",
            "telephone_number": "832-886-4539",
            "fax_number": "832-886-4690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDLAND HEALTH CARE SERVICES,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-13",
        "last_updated": "2019-05-13",
        "status": "A",
        "authorized_official_last_name": "UDEOBONG",
        "authorized_official_first_name": "ALICE",
        "authorized_official_middle_name": "ITA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "832-886-4539",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "011219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.