Edicare Professional Healthcare Services, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

010365 Issued in TX

Legal business name

EDICARE PROFESSIONAL HEALTHCARE SERVICES, INC

Practice address

2000 S Dairy Ashford St
Suite #305
Houston, TX 77077-5700

Phone

(281) 568-4573

Fax

(281) 879-8411

NPI assigned

Dec 19, 2006

Organization subpart

No

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

Authorized official

Name

Edosasere Lee Omoruyi, BSCE

Title

Alt Administrator

Phone

(281) 568-4573

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amorighoye Otubu, FNP

  • Nurse Practitioner
  • Houston, TX
  • NPI 1659967792
  NPD

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328054400000",
    "number": "1316001191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 S DAIRY ASHFORD ST",
            "address_2": "SUITE #305",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770775700",
            "telephone_number": "281-568-4573",
            "fax_number": "281-879-8411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 S DAIRY ASHFORD ST",
            "address_2": "SUITE #305",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770775700",
            "telephone_number": "281-568-4573",
            "fax_number": "281-879-8411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDICARE PROFESSIONAL HEALTHCARE SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2012-02-01",
        "status": "A",
        "authorized_official_last_name": "OMORUYI",
        "authorized_official_first_name": "EDOSASERE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "ALT ADMINISTRATOR",
        "authorized_official_telephone_number": "281-568-4573",
        "authorized_official_credential": "BSCE"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "010365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edgehealth Laboratories LLC
• Mary E Edgerton, MD
• Yolonda M. Edgerton, SAC
• Karen Edgington
• Samson Ediae
• Edify Behavioral Management LLC
• Edihumble Home Healthcare Incorporated
• Susan Omwanghe Edionwe, M.D.
• Hasini Nuwangi Ediriweera, M.D., PH.D.
• Edison Medical Corporation

• Home Health Agency in Houston, TX
• Providers in Houston, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.