Katy Lakes Home Care LLC

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Legal business name

KATY LAKES HOME CARE LLC

Practice address

6907 Northchester Dr
Katy, TX 77493-3850

Phone

(832) 348-6011

Fax

(832) 557-3422

NPI assigned

Sep 28, 2020

Last updated

Mar 5, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Harriet EvbuomwanNPI 1609367630

Title

Administrator

Phone

(832) 348-6011

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Harriet Adesuwa Evbuomwan

  • Behavior Technician
  • Katy, TX
  • NPI 1609367630
  Authorized official Same address or phone

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

{
    "created_epoch": "1601251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614902400000",
    "number": "1427665033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9810 BEACON CROSSING LN",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774334001",
            "telephone_number": "832-348-6011",
            "fax_number": "832-557-3422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6907 NORTHCHESTER DR",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774933850",
            "telephone_number": "832-348-6011",
            "fax_number": "832-557-3422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATY LAKES HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-28",
        "last_updated": "2021-03-05",
        "certification_date": "2021-03-05",
        "status": "A",
        "authorized_official_last_name": "EVBUOMWAN",
        "authorized_official_first_name": "HARRIET",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "832-348-6011"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katy Healthcare Services LLC
• Katy Hospice, LLC (JOL Healthcare)
• Katy Independent School District
• Katy Independent School District
• Katy Internal Medicine Associates, L.L.P.
• Katy Learning Center
• Katy Long Term Care LLC (Sterling Oaks Rehabilitation)
• Katy LTC Holdings Group LTD (The Grace Care Center of Katy)
• Katy Main Clinic
• Katy Medics PLLC (Medical Office Of Katy)

• Personal Care Attendant in Katy, TX
• Providers in Katy, TX by specialty
• Personal Care Attendant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2021; 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.