Organization Active NPI

Residential Home Health Services, LLC.

  • Home Health Agency
  • Friendswood, TX
National Provider Identifier
1285871947
Registry record updated Aug 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
RESIDENTIAL HOME HEALTH SERVICES, LLC.
Practice address
1560 W Bay Area Blvd
Suite 103
Friendswood, TX 77546-2667
Phone
(281) 956-5660
Fax
(281) 956-5662
NPI assigned
Jan 15, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2015

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

Authorized official

Name
Mr. Roger K Achuo
Title
Administrator
Phone
(832) 455-1124

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1560 W Bay Area Blvd
Suite 103
Friendswood, TX 77546-2667

Mailing address

1560 W Bay Area Blvd
Suite 103
Friendswood, TX 77546-2667
Phone (281) 956-5660

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090514000037 TX Part A Provider - Home Health Agency 5395894794 Practice locations: Friendswood, TX

Home health agency certification: CCN 747249

Legal name
RESIDENTIAL HOME HEALTH SERVICES, LLC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 2, 2009
Last certification
Sep 2, 2021
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Jan 12, 2009 in TX
Enrollment address
1560 W Bay Area Blvd
Ste 103
Friendswood, TX 77546-2677

Care Compare: Home health agency

Medicare Care Compare
Listed as
Residential Home Health Services LLCCCN 747249 · All quality measures
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Dec 2, 2009
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, 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
45D1099788Residential Home Health Services, LLC1560 W Bay Area Blvd Suite #103, Friendswood, TX 77546Certificate of waiverMay 20, 2027

National Provider Directory

National Provider Directory

Locations

1560 W Bay Area Blvd
Ste 103
Friendswood, TX 77546
Phone (281) 956-5660

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
Ivo Kelli Achuo Individual Contracted Managing Employee Mar 18, 2013
Roger Achuo Individual 5% Or Greater Direct Ownership Interest Jan 12, 2009 100%
Operational/Managerial ControlCeo Jan 12, 2009 100%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

NPI Registry JSON

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

{
    "created_epoch": "1231977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439942400000",
    "number": "1285871947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 W BAY AREA BLVD",
            "address_2": "SUITE 103",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775462667",
            "telephone_number": "281-956-5660",
            "fax_number": "281-956-5662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 W BAY AREA BLVD",
            "address_2": "SUITE 103",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775462667",
            "telephone_number": "281-956-5660",
            "fax_number": "281-956-5662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESIDENTIAL HOME HEALTH SERVICES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-15",
        "last_updated": "2015-08-19",
        "status": "A",
        "authorized_official_last_name": "ACHUO",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "832-455-1124",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Friendswood, TX

Sources for this page

Verify at the official NPI Registry.