Organization Active NPI

Promedic Healthcare Systems Inc

  • Home Health Agency
  • Webster, TX
National Provider Identifier
1427064104
Registry record updated Nov 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PROMEDIC HEALTHCARE SYSTEMS INC
Practice address
857 Tristar Dr
Suite a-1
Webster, TX 77598
Phone
(281) 786-4220
Fax
(281) 786-4221
NPI assigned
Aug 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2020

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

Authorized official

Name
Mr. Amir Raza
Title
Chief Financial Officer
Phone
(832) 245-3635

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

857 Tristar Dr
Suite a-1
Webster, TX 77598

Mailing address

857 Tristar Dr
Suite a-1
Webster, TX 77598-1553
Phone (713) 747-4400

Other names 1

  • PROMEDIC HOME HEALTH SERVICES Doing business as

National Provider Directory

National Provider Directory

Locations

857 Tristar Dr
Ste A1
Webster, TX 77598
Phone (713) 747-4400

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605052800000",
    "number": "1427064104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "857 TRISTAR DR",
            "address_2": "SUITE A-1",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775981553",
            "telephone_number": "713-747-4400",
            "fax_number": "713-747-4407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "857 TRISTAR DR",
            "address_2": "SUITE A-1",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "77598",
            "telephone_number": "281-786-4220",
            "fax_number": "281-786-4221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMEDIC HEALTHCARE SYSTEMS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-11",
        "status": "A",
        "authorized_official_last_name": "RAZA",
        "authorized_official_first_name": "AMIR",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "832-245-3635",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PROMEDIC HOME HEALTH SERVICES",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PROMEDIC HOME HEALTH SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Webster, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2020; 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.