Organization Active NPI

Proactive Pediatric Nursing Services, PPLC

  • Home Health Agency
  • Richmond, TX
National Provider Identifier
1417544313
Registry record updated Aug 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PROACTIVE PEDIATRIC NURSING SERVICES, PPLC
Practice address
17711 Sauki LN
Richmond, TX 77407-2847
Phone
(832) 213-9716
Fax
(979) 773-8917
NPI assigned
Dec 26, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2025

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

Authorized official

Name
Mrs. Destiny O Ugwu, RN/BSN
Title
Director
Phone
(832) 213-9716

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

17711 Sauki LN
Richmond, TX 77407-2847

Mailing address

17711 Sauki LN
Richmond, TX 77407-2847
Phone (832) 213-9716

Other names 1

  • Proactive Nursing Service, PLLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Proactive Nursing Service PLLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8700 Commerce Park Dr
#125D
Houston, TX 77036

NPI Registry JSON

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

{
    "created_epoch": "1608940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756598400000",
    "number": "1417544313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17711 SAUKI LN",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774072847",
            "telephone_number": "832-213-9716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17711 SAUKI LN",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774072847",
            "telephone_number": "832-213-9716",
            "fax_number": "979-773-8917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROACTIVE PEDIATRIC NURSING SERVICES, PPLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-26",
        "last_updated": "2025-08-31",
        "certification_date": "2025-08-31",
        "status": "A",
        "authorized_official_last_name": "UGWU",
        "authorized_official_first_name": "DESTINY",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "832-213-9716",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN/BSN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Proactive Nursing Service, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richmond, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.