Active NPI
Pavilion of Redemption Healthcare Systems, Inc.
- Home Health Agency
- Houston, TX
National Provider Identifier
1235432030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 014000
- Legal business name
- PAVILION OF REDEMPTION HEALTHCARE SYSTEMS, INC.
- Doing business as
- P.O.R. HOME HELATHCARE SERVICES
- Practice address
- 10925 Beechnut St
B204-60
Houston, TX 77072-4351 - Phone
- (281) 983-3500
- Fax
- (281) 983-3502
- NPI assigned
- Dec 16, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Peter O Awofodu, R.N.
- Title
- Administrator & Ceo
- Phone
- (281) 983-3500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 014000 | TX | Primary |
Addresses
Primary practice location
10925 Beechnut St
B204-60
Houston, TX 77072-4351
Mailing address
10925 Beechnut St
B204-60
Houston, TX 77072-4351
Phone (281) 983-3500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NONE | Other | NONE AT THIS TIME |
Other names 1
- P.O.R. HOME HELATHCARE SERVICES
National Provider Directory
National Provider DirectoryLocations
10925 Beechnut St
#B20460
Houston, TX 77072
Phone (281) 983-3500
10925 Beechnut St
Ste B20460
Houston, TX 77072
Phone (281) 983-3500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292457600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1306800000000",
"number": "1235432030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10925 BEECHNUT ST",
"address_2": "B204-60",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770724351",
"telephone_number": "281-983-3500",
"fax_number": "281-983-3502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10925 BEECHNUT ST",
"address_2": "B204-60",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770724351",
"telephone_number": "281-983-3500",
"fax_number": "281-983-3502"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAVILION OF REDEMPTION HEALTHCARE SYSTEMS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2010-12-16",
"last_updated": "2011-05-31",
"status": "A",
"authorized_official_last_name": "AWOFODU",
"authorized_official_first_name": "PETER",
"authorized_official_middle_name": "O",
"authorized_official_title_or_position": "ADMINISTRATOR & CEO",
"authorized_official_telephone_number": "281-983-3500",
"authorized_official_credential": "R.N."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "TX",
"license": "014000",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NONE AT THIS TIME",
"identifier": "NONE",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "P.O.R. HOME HELATHCARE SERVICES",
"code": "3",
"type": "Doing Business As"
}
]
}
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 May 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.