Organization Active NPI

Xtra - Care Home Health Inc

  • Home Health Agency
  • Houston, TX
National Provider Identifier
1366624041
Registry record updated Jan 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
012316 Issued in TX
Legal business name
XTRA - CARE HOME HEALTH INC
Doing business as
Xtra- Care Home Health Inc
Practice address
9894 Bissonnet St
575
Houston, TX 77036-8239
Phone
(713) 270-1160
Fax
(713) 270-1190
NPI assigned
Dec 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2012

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

Authorized official

Name
Mrs. Rosemary Chinyelum UwaezuokeNPI 1194229922
Title
Administrator/Director of Nursing
Phone
(713) 270-1160

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
Home Health Agency 251E00000X 012316 TX Primary

Addresses

Primary practice location

9894 Bissonnet St
575
Houston, TX 77036-8239

Mailing address

9894 Bissonnet St
575
Houston, TX 77036-8239
Phone (713) 270-1160

Other names 1

  • Xtra- Care Home Health Inc Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051013000713 TX Part A Provider - Home Health Agency 4789609181 Practice locations: Houston, TX

Home health agency certification: CCN 679728

Legal name
XTRA - CARE HOME HEALTH INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 15, 2007
Last certification
Aug 6, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Aug 9, 2005 in TX
Enrollment address
9894 Bissonnet St 575
Houston, TX 77036-8251

Care Compare: Home health agency

Medicare Care Compare
Listed as
Xtra-Care Home Health IncCCN 679728
Overall star rating
5 of 5
Ownership
Proprietary
Certified
Dec 15, 2007
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
45D1046123Xtra-Care Home Health, Inc9894 Bissonnet St Suite 575, Houston, TX 77036Certificate of waiverSep 29, 2027

National Provider Directory

National Provider Directory

Locations

9894 Bissonnet St
Ste 100S
Houston, TX 77036
Phone (713) 270-1160

9894 Bissonnet St
Ste 575
Houston, TX 77036
Phone (713) 270-1160

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Bernadine Njoku Individual W-2 Managing Employee Aug 9, 2005
Operational/Managerial ControlAlt. Administrator/Alt Dir.of Apr 19, 2016
Rosemary Uwaezuoke Individual 5% Or Greater Direct Ownership InterestOwner Jun 23, 2008 100%
W-2 Managing Employee Jun 23, 2008
Xtra - Care Home Health Inc Organization, Houston, TX Corporation 5% Or Greater Direct Ownership Interest Sep 9, 2008

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": "1196726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327881600000",
    "number": "1366624041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9894 BISSONNET ST",
            "address_2": "575",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770368239",
            "telephone_number": "713-270-1160",
            "fax_number": "713-270-1190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9894 BISSONNET ST",
            "address_2": "575",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770368239",
            "telephone_number": "713-270-1160",
            "fax_number": "713-270-1190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XTRA - CARE HOME HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-04",
        "last_updated": "2012-01-30",
        "status": "A",
        "authorized_official_last_name": "UWAEZUOKE",
        "authorized_official_first_name": "ROSEMARY",
        "authorized_official_middle_name": "CHINYELUM",
        "authorized_official_title_or_position": "ADMINISTRATOR/DIRECTOR OF NURSING",
        "authorized_official_telephone_number": "713-270-1160",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "012316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Xtra- Care Home Health Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.