Active NPI
Chuck C Okeadu Sr., PT
- Community/Behavioral Health Agency
- Houston, TX
National Provider Identifier
1386848539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 82A
- Practice address
- Special Home Care Living Center
9898 Bissonnet Suite 585
Houston, TX 77036 - Phone
- (713) 771-3133
- Fax
- (713) 771-3113
- NPI assigned
- Jun 12, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | |||
| Contractor | 171W00000X | 82A | TX | |
| Community/Behavioral Health Agency | 251S00000X | |||
| Community Health Clinic/Center | 261QC1500X | 82A | TX | |
| Community/Behavioral Health Agency | 251S00000X | 82A | TX | Primary |
Addresses
Primary practice location
Special Home Care Living Center
9898 Bissonnet Suite 585
Houston, TX 77036
Mailing address
Special Home Care Living Center
9898 Bissonnet Suite 585
Houston, TX 77036
Phone (713) 771-3133
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 111894502 | Medicaid | TX | |
| 111894503 | Medicaid | TX | |
| 82A | Medicaid | TX | |
| 111894501 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 82A | TX | MD | Community Health Clinic/Center |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552262400000",
"number": "1386848539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "SPECIAL HOME CARE LIVING CENTER",
"address_2": "9898 BISSONNET SUITE 585",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77036",
"telephone_number": "713-771-3133",
"fax_number": "713-771-3113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SPECIAL HOME CARE LIVING CENTER",
"address_2": "9898 BISSONNET SUITE 585",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77036",
"telephone_number": "713-771-3133",
"fax_number": "713-771-3113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OKEADU",
"first_name": "CHUCK",
"middle_name": "C",
"name_prefix": "Mr.",
"name_suffix": "Sr.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-12",
"last_updated": "2019-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Contractor",
"state": null,
"license": null,
"primary": false
},
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "TX",
"license": "82A",
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QC1500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Community Health",
"state": "TX",
"license": "82A",
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "TX",
"license": "82A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "111894502",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "111894503",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "82A",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "111894501",
"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 Mar 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.