Organization Active NPI

Clements-Moore Inc

  • Home Health Agency
  • Houston, TX
National Provider Identifier
1417992090
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
007872 Issued in TX
Legal business name
CLEMENTS-MOORE INC
Doing business as
Metro Health Services
Practice address
9894 Bissonnet St
Ste 365
Houston, TX 77036-8239
Phone
(713) 777-9600
Fax
(713) 777-9664
NPI assigned
Jun 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

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

Authorized official

Name
Mr. Jimmie Lee Moore
Title
Cheif Fanancal Officer
Phone
(713) 777-9600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 007872 TX Primary

Addresses

Primary practice location

9894 Bissonnet St
Ste 365
Houston, TX 77036-8239

Mailing address

9894 Bissonnet St
Ste 365
Houston, TX 77036-8239
Phone (713) 777-9600

Other identifiers 5

IdentifierTypeStateIssuer
001013592MedicaidTX
156353802MedicaidTX
001013734MedicaidTX
156353801MedicaidTX
001012208MedicaidTX

Other names 1

  • Metro Health Services Doing business as

National Provider Directory

National Provider Directory

Locations

10103 Fondren Rd
Ste 405
Houston, TX 77096
Phone (713) 777-9600

9894 Bissonnet St
Ste 340
Houston, TX 77036
Phone (713) 777-9600

9894 Bissonnet St
Ste 365
Houston, TX 77036
Phone (713) 777-9600

10101 Fondren Rd
Ste 345
Houston, TX 77096
Phone (713) 777-9600

NPI Registry JSON

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1417992090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9894 BISSONNET ST",
            "address_2": "STE 365",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770368239",
            "telephone_number": "713-777-9600",
            "fax_number": "713-777-9664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9894 BISSONNET ST",
            "address_2": "STE 365",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770368239",
            "telephone_number": "713-777-9600",
            "fax_number": "713-777-9664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEMENTS-MOORE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "JIMMIE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CHEIF FANANCAL OFFICER",
        "authorized_official_telephone_number": "713-777-9600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "007872",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001013592",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "156353802",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001013734",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "156353801",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001012208",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Metro Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 12, 2008; 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.