Organization Active NPI

New Era Healthcare Services, Inc.

Doing business as Progressive Healthcare Services

  • Home Health Agency
  • Houston, TX
National Provider Identifier
1215007174
Registry record updated Mar 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
011816 Issued in TX
Legal business name
NEW ERA HEALTHCARE SERVICES, INC.
Doing business as
Progressive Healthcare Services
Practice address
15210 Mira Vista Dr
Houston, TX 77083
Phone
(713) 776-9993
Fax
(713) 776-9994
NPI assigned
Nov 8, 2006
Last updated
Mar 22, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2019

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

Authorized official

Name
Godwin C Amaefule
Title
Cfo
Phone
(713) 776-9993

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 011816 TX Primary

Addresses

Primary practice location

15210 Mira Vista Dr
Houston, TX 77083

Mailing address

PO Box 720460
Houston, TX 77272-0460
Phone (713) 776-9993

Other practice location 1

9800 Centre Pkwy Ste 260
Houston, TX 77036-8264
Phone (713) 776-9993

Other identifiers 1

IdentifierTypeStateIssuer
205909901MedicaidTX

Other names 1

  • Progressive Healthcare Services Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070822000673 TX Part A Provider - Home Health Agency 0547352510 Practice locations: Houston, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1215007174. Details of each certification follow.

Home health agency certification: CCN 747058

Legal name
NEW ERA HEALTHCARE SERVICES INC
Doing business as
PROGRESSIVE HEALTHCARE SERVICES
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 21, 2008
Last certification
Sep 4, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Nov 13, 2006 in TX
Enrollment address
15210 Mira Vista Dr
Houston, TX 77083-4211

Care Compare: Home health agency

Medicare Care Compare
Listed as
Progressive Healthcare ServicesCCN 747058 · All quality measures
Ownership
Proprietary
Certified
Nov 21, 2008
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

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
Patricia Amaefule Individual 5% Or Greater Direct Ownership Interest Nov 13, 2006 50%
5% Or Greater Security Interest Nov 13, 2006 50%
Corporate OfficerAdministrator Nov 13, 2006 50%
Corporate Director Jul 12, 2007
W-2 Managing EmployeeAdministrator Nov 13, 2006 50%
Operational/Managerial ControlAdministrator Nov 13, 2006 50%
Godwin Amaefule Individual 5% Or Greater Direct Ownership Interest Oct 12, 2018 50%
Corporate OfficerAlternate Admin/Cfo Nov 13, 2006 50%
Corporate DirectorAlternate Admin/Cfo Nov 13, 2006 33%
W-2 Managing EmployeeAlternate Admin/Cfo Aug 30, 2006 50%
Operational/Managerial ControlAlternate Admin/Cfo Nov 13, 2006 50%

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553212800000",
    "number": "1215007174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 720460",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772720460",
            "telephone_number": "713-776-9993",
            "fax_number": "713-776-9994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15210 MIRA VISTA DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77083",
            "telephone_number": "713-776-9993",
            "fax_number": "713-776-9994"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9800 Centre Pkwy Ste 260",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770368264",
            "country_code": "US",
            "telephone_number": "713-776-9993",
            "fax_number": "713-776-9994",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEW ERA HEALTHCARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2019-03-22",
        "status": "A",
        "authorized_official_last_name": "AMAEFULE",
        "authorized_official_first_name": "GODWIN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "713-776-9993"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "011816",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205909901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Progressive Healthcare Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.