Organization Active NPI

Primetime Home Health Services, Inc

  • Home Health Agency
  • Houston, TX
National Provider Identifier
1376576173
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PRIMETIME HOME HEALTH SERVICES, INC
Practice address
11602 Burdine St #a
Houston, TX 77035
Phone
(713) 977-7721
Fax
(713) 977-7728
NPI assigned
Jul 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2025

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

Authorized official

Name
Mr. Johnson Otumbadi Nwokorie
Title
Administrator/Cfo
Phone
(713) 977-7721

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 008140 TX
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

11602 Burdine St #a
Houston, TX 77035

Mailing address

11602 Burdine St # a
Houston, TX 77035-2704
Phone (713) 977-7721

Other identifiers 3

IdentifierTypeStateIssuer
001012244OtherTXDADS
001012243OtherTXDADS
158169601MedicaidTX

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
45D1005119Primetime Home Health Services, Inc11602 Burdine St # a, Houston, TX 77035Certificate of waiverOct 14, 2026

National Provider Directory

National Provider Directory

Locations

9894 Bissonnet St
Ste 830
Houston, TX 77036
Phone (713) 977-7721

10333 Harwin Dr
Ste 620
Houston, TX 77036
Phone (713) 977-7721

11602 Burdine St
#A
Houston, TX 77035
Phone (713) 977-7721

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757894400000",
    "number": "1376576173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11602 BURDINE ST # A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770352704",
            "telephone_number": "713-977-7721",
            "fax_number": "713-977-7728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11602 BURDINE ST #A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77035",
            "telephone_number": "713-977-7721",
            "fax_number": "713-977-7728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMETIME HOME HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A",
        "authorized_official_last_name": "NWOKORIE",
        "authorized_official_first_name": "JOHNSON",
        "authorized_official_middle_name": "OTUMBADI",
        "authorized_official_title_or_position": "ADMINISTRATOR/CFO",
        "authorized_official_telephone_number": "713-977-7721",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "008140",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DADS",
            "identifier": "001012244",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DADS",
            "identifier": "001012243",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158169601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.