Organization Active NPI

Redeemed Health Services, Inc

Doing business as N/a

  • Home Health Agency
  • Stafford, TX
National Provider Identifier
1346329257
Registry record updated Apr 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
010739 Issued in TX
Legal business name
REDEEMED HEALTH SERVICES, INC
Doing business as
N/a
Practice address
11104 W Airport Blvd Ste 220
Stafford, TX 77477-3016
Phone
(346) 444-3317
Fax
(346) 444-3312
NPI assigned
Nov 2, 2006
Last updated
Apr 6, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2022

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

Authorized official

Name
Mr. Vitalis C Onu
Title
Director
Phone
(346) 444-3317

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 010739 TX Primary

Addresses

Primary practice location

11104 W Airport Blvd Ste 220
Stafford, TX 77477-3016

Mailing address

11104 W Airport Blvd Ste 220
Stafford, TX 77477-3016
Phone (346) 444-3317

Other names 1

  • N/A Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070803000019 TX Part A Provider - Home Health Agency 3476644550 Practice locations: Stafford, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1346329257. Details of each certification follow.

Home health agency certification: CCN 743154

Legal name
REDEEMED HEALTH SERVICES, INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 4, 2008
Last certification
Dec 17, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
May 26, 2006 in TX
Enrollment address
11104 W Airport Blvd
Ste 220
Stafford, TX 77477-3016

Care Compare: Home health agency

Medicare Care Compare
Listed as
Redeemed Health ServicesCCN 743154 · All quality measures
Overall star rating
1.5 of 5
Ownership
Proprietary
Certified
Jun 4, 2008
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, 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
45D1062184Redeemed Health Services, Inc11104 West Airport Blvd #220, Stafford, TX 77477Certificate of waiverDec 6, 2026

National Provider Directory

National Provider Directory

Locations

4606 FM 1960 Rd W
Ste 540
Houston, TX 77069
Phone (952) 564-7777

2440 Texas Pkwy
Ste 345
Missouri City, TX 77489
Phone (713) 771-7121

11104 W Airport Blvd
Ste 220
Stafford, TX 77477
Phone (346) 444-3311

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
Awesome Health Group Inc Organization, Stafford, TX Corporation 5% Or Greater Direct Ownership Interest Jun 1, 2022 100%
Vitalis Onu Individual 5% Or Greater Indirect Ownership InterestDirector/Admin Jun 1, 2022 100%
Corporate OfficerDirector/Board Member Jun 1, 2022 100%
Corporate DirectorDirector/Board Member Jun 1, 2022 100%
W-2 Managing EmployeeDirector/Board Member Jun 1, 2022 100%
Operational/Managerial ControlDirector/Board Member Jun 1, 2022 100%

Practitioners & affiliated clinicians

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649203200000",
    "number": "1346329257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11104 W AIRPORT BLVD STE 220",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774773016",
            "telephone_number": "346-444-3317",
            "fax_number": "346-444-3312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11104 W AIRPORT BLVD STE 220",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774773016",
            "telephone_number": "346-444-3317",
            "fax_number": "346-444-3312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDEEMED HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A",
        "authorized_official_last_name": "ONU",
        "authorized_official_first_name": "VITALIS",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "346-444-3317",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "010739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "N/A",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "N/A",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stafford, TX

Sources for this page

Verify at the official NPI Registry.