NPIMap

Organization Active NPI

Eastex Infusion Services LLC

  • Home Health Agency
  • Fulshear, TX
National Provider Identifier
1235624040
Registry record updated Nov 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
018872 Issued in TX
Legal business name
EASTEX INFUSION SERVICES LLC
Practice address
27415 Grayson Gap CT
Fulshear, TX 77441-2087
Phone
(281) 229-1531
Fax
(281) 946-8710
NPI assigned
Jun 25, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2022

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

Authorized official

Name
Jerome Amado, RNNPI 1245980226
Title
Owner
Phone
(832) 338-6850

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 018872 TX Primary
Home Infusion Agency 251F00000X 018872 TX

Addresses

Primary practice location

27415 Grayson Gap CT
Fulshear, TX 77441-2087

Mailing address

27415 Grayson Gap CT
Fulshear, TX 77441-2087
Phone (832) 451-6713

Other practice location 1

27415 Grayson Gap Ct
Fulshear, TX 77441-2087
Phone (832) 451-6713

Other identifiers 1

IdentifierTypeStateIssuer
018872OtherTXTEXAS HEALTH AND HUMAN SERVICES COMMISSION

National Provider Directory

National Provider Directory

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": "1529884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668124800000",
    "number": "1235624040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27415 GRAYSON GAP CT",
            "city": "FULSHEAR",
            "state": "TX",
            "postal_code": "774412087",
            "telephone_number": "832-451-6713",
            "fax_number": "281-396-4705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27415 GRAYSON GAP CT",
            "city": "FULSHEAR",
            "state": "TX",
            "postal_code": "774412087",
            "telephone_number": "281-229-1531",
            "fax_number": "281-946-8710"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27415 Grayson Gap Ct",
            "address_purpose": "LOCATION",
            "city": "Fulshear",
            "state": "TX",
            "postal_code": "774412087",
            "country_code": "US",
            "telephone_number": "832-451-6713",
            "fax_number": "281-396-4705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EASTEX INFUSION SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-25",
        "last_updated": "2022-11-11",
        "certification_date": "2022-11-11",
        "status": "A",
        "authorized_official_last_name": "AMADO",
        "authorized_official_first_name": "JEROME",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-338-6850",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "018872",
            "primary": true
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "TX",
            "license": "018872",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS HEALTH AND HUMAN SERVICES COMMISSION",
            "identifier": "018872",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fulshear, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2022; 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.