Organization Active NPI

Keswood Home Health Services LLC

  • Home Health Agency
  • Katy, TX
National Provider Identifier
1437342177
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
011156 Issued in TX
Legal business name
KESWOOD HOME HEALTH SERVICES LLC
Practice address
464 Long Beach Bay Dr
Katy, TX 77493-6441
Phone
(346) 673-8552
Fax
(281) 416-4878
NPI assigned
Aug 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Authorized official

Name
Oluwatosin Odia, RNNPI 1033761242
Title
Owner
Phone
(346) 673-8552

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 011156 TX Primary
Nursing Care Agency 251J00000X
Chore ProviderGroup: 193200000X MULTI-SPECIALTY GROUP 372500000X
Adult CompanionGroup: 193200000X MULTI-SPECIALTY GROUP 372600000X
Attendant Care ProviderGroup: 193200000X MULTI-SPECIALTY GROUP 3747A0650X
Personal Care AttendantGroup: 193200000X MULTI-SPECIALTY GROUP 3747P1801X
HomemakerGroup: 193200000X MULTI-SPECIALTY GROUP 376J00000X
Respite Care 385H00000X

Addresses

Primary practice location

464 Long Beach Bay Dr
Katy, TX 77493-6441

Mailing address

464 Long Beach Bay Dr
Katy, TX 77493-6441
Phone (346) 673-8552

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070911000288 TX Part A Provider - Home Health Agency 2961595681 Practice locations: Houston, TX

Home health agency certification: CCN 747055

Legal name
KESWOOD HOME HEALTH SERVICES, LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 9, 2008
Last certification
Jun 27, 2019
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Enrollment address
10998 S Wilcrest Dr
Ste 204
Houston, TX 77099-3596

Care Compare: Home health agency

Medicare Care Compare
Listed as
Keswood Home Health Services LLCCCN 747055
Ownership
Proprietary
Certified
Dec 9, 2008
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Keswood Home Health Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

10998 S Wilcrest Dr
Ste 204
Houston, TX 77099
Phone (346) 673-8552

10998 S Wilcrest Dr
Ste 215
Houston, TX 77099
Phone (281) 416-4663

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Adetoun Agbese Individual Contracted Managing EmployeePresident Apr 16, 2024 34%
5% Or Greater Direct Ownership InterestPresident Apr 16, 2024 34%
Corporate DirectorPresident Apr 16, 2024 34%
Operational/Managerial ControlPresident Apr 16, 2024 34%
Oluwatosin Odia Individual Contracted Managing EmployeeVice President Apr 16, 2024 33%
5% Or Greater Direct Ownership InterestVice President Apr 16, 2024 33%
Corporate DirectorVice President Apr 16, 2024 33%
Operational/Managerial ControlVice President Apr 16, 2024 33%
Opeyemi Oreagba Individual Contracted Managing EmployeeSecretary Apr 16, 2024 33%
5% Or Greater Direct Ownership InterestSecretary Apr 16, 2024 33%
Corporate DirectorSecretary Apr 16, 2024 33%
Operational/Managerial ControlSecretary Apr 16, 2024 33%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719360000000",
    "number": "1437342177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "464 LONG BEACH BAY DR",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774936441",
            "telephone_number": "346-673-8552",
            "fax_number": "281-416-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "464 LONG BEACH BAY DR",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774936441",
            "telephone_number": "346-673-8552",
            "fax_number": "281-416-4878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KESWOOD HOME HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-27",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A",
        "authorized_official_last_name": "ODIA",
        "authorized_official_first_name": "OLUWATOSIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "346-673-8552",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "011156",
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chore Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.