Organization Active NPI

Texas Pediatric Home Health

  • Nursing Care Agency
  • Humble, TX
National Provider Identifier
1306101589
Registry record updated Jul 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
226086 Issued in TX
Legal business name
TEXAS PEDIATRIC HOME HEALTH
Practice address
15116 Mesa Dr
Suite 725
Humble, TX 77396-2394
Phone
(281) 570-6418
Fax
(281) 570-6418
NPI assigned
Jul 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2012

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

Authorized official

Name
Mr. Sage Emil Nicolo, LVNNPI 1821353004
Title
Owner
Phone
(734) 837-5481

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X 226086 TX Primary

Addresses

Primary practice location

15116 Mesa Dr
Suite 725
Humble, TX 77396-2394

Mailing address

15116 Mesa Dr
Suite 725
Humble, TX 77396-2394
Phone (281) 570-6418

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": "1342051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342051200000",
    "number": "1306101589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15116 MESA DR",
            "address_2": "SUITE 725",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773962394",
            "telephone_number": "281-570-6418",
            "fax_number": "281-570-6418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15116 MESA DR",
            "address_2": "SUITE 725",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773962394",
            "telephone_number": "281-570-6418",
            "fax_number": "281-570-6418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS PEDIATRIC HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-12",
        "last_updated": "2012-07-12",
        "status": "A",
        "authorized_official_last_name": "NICOLO",
        "authorized_official_first_name": "SAGE",
        "authorized_official_middle_name": "EMIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-837-5481",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LVN"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "TX",
            "license": "226086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humble, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2012; 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.