Devinity Home Health Care PLLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

015585 Issued in TX

Legal business name

DEVINITY HOME HEALTH CARE PLLC

Practice address

9102 Aspen Trace LN
Humble, TX 77338-2802

Phone

(281) 570-4072

Fax

(281) 570-6234

NPI assigned

Jan 16, 2013

Organization subpart

No

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

Authorized official

Name

Olubanwo Gina Omisande

Title

Administrator

Phone

(832) 881-2782

Specialties & licenses 7

Addresses

Other names 1

• DEVINITY HOSPICE Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Hospice certification: CCN 741532

Legal name

DEVINITY HOME HEALTH CARE PLLC

Doing business as

DEVINITY HOSPICE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Sep 9, 2014

Last certification

Jan 8, 2021

Ownership / control type

Non-Profit - Other

Organization structure

OtherProprietary

Incorporated

Jan 11, 2013 in TX

Enrollment address

9102 Aspen Trace Lane
Humble, TX 77338

Listed as

Devinity HospiceCCN 741532

Ownership

For-Profit

Certified

Sep 9, 2014

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 1

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

Affiliated clinicians 2

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

• Clara Chinaemerem Osuji, MD

  • Internal Medicine Physician
  • Houston, TX
  • NPI 1629155700

  Hospice

  Care Compare affiliation
• Dwayne Oneal Williams, MD

  • Family Medicine Physician
  • Sugar Land, TX
  • NPI 1689740003

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1358294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710720000000",
    "number": "1366780934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9102 ASPEN TRACE LN",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773382802",
            "telephone_number": "281-570-4072",
            "fax_number": "281-570-6234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9102 ASPEN TRACE LN",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773382802",
            "telephone_number": "281-570-4072",
            "fax_number": "281-570-6234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVINITY HOME HEALTH CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-16",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A",
        "authorized_official_last_name": "OMISANDE",
        "authorized_official_first_name": "OLUBANWO",
        "authorized_official_middle_name": "GINA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "832-881-2782"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "015585",
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "TX",
            "license": "015585",
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "TX",
            "license": "015585",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TX",
            "license": "015585",
            "primary": false
        },
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": "TX",
            "license": "015585",
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": "TX",
            "license": "015585",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DEVINITY HOSPICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community Based Hospice Care Agency in Humble, TX
• Providers in Humble, TX by specialty
• Community Based Hospice Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.