Organization Active NPI

Pavilion of Redemption Healthcare Systems, Inc.

  • Home Health Agency
  • Houston, TX
National Provider Identifier
1235432030
Registry record updated May 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
014000 Issued in TX
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

Updated by the provider on May 31, 2011

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
NONEOtherNONE AT THIS TIME

Other names 1

  • P.O.R. HOME HELATHCARE SERVICES Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.