Active NPI
Keswood Home Health Services LLC
- Home Health Agency
- Katy, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 011156
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Oluwatosin Odia, RN
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 011156 | TX | Primary |
| Nursing Care Agency | 251J00000X | |||
| Chore Provider | 372500000X | |||
| Adult Companion | 372600000X | |||
| Attendant Care Provider | 3747A0650X | |||
| Personal Care Attendant | 3747P1801X | |||
| Homemaker | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 LLC
- Ownership
- Proprietary
- Certified
- Dec 9, 2008
- Medicare certification status
- Active
- Services
- Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider Directory- Tax ID family
- Keswood Home Health Services LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Secured Medical Transport (VAN)
- Houston, TX
- NPI 1659127165
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Adetoun Agbese | Contracted Managing Employee | Apr 16, 2024 | 34% |
| 5% Or Greater Direct Ownership Interest | Apr 16, 2024 | 34% | |
| Corporate Director | Apr 16, 2024 | 34% | |
| Operational/Managerial Control | Apr 16, 2024 | 34% | |
| Oluwatosin Odia | Contracted Managing Employee | Apr 16, 2024 | 33% |
| 5% Or Greater Direct Ownership Interest | Apr 16, 2024 | 33% | |
| Corporate Director | Apr 16, 2024 | 33% | |
| Operational/Managerial Control | Apr 16, 2024 | 33% | |
| Opeyemi Oreagba | Contracted Managing Employee | Apr 16, 2024 | 33% |
| 5% Or Greater Direct Ownership Interest | Apr 16, 2024 | 33% | |
| Corporate Director | Apr 16, 2024 | 33% | |
| Operational/Managerial Control | 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.
-
- Certified Registered Nurse Anesthetist
- Houston, TX
- NPI 1033761242
5% Or Greater Direct Ownership Interest, Contracted Managing Employee, Corporate Director, Operational/Managerial Control
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Certified Registered Nurse Anesthetist
- Houston, TX
- NPI 1033761242
-
- Home Health Agency
- Sugar Land, TX
- NPI 1558437327
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.