Organization Active NPI

Smartliving Healthcare Services Inc

  • Home Health Agency
  • Houston, TX
National Provider Identifier
1437390945
Registry record updated Mar 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SMARTLIVING HEALTHCARE SERVICES INC
Practice address
10101 Harwin Drive
Suite 315
Houston, TX 77036
Phone
(281) 974-1036
Fax
(832) 830-8406
NPI assigned
Mar 12, 2009
Last updated
Mar 4, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2015

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

Authorized official

Name
Mr. Emelike Uchechi AgomoNPI 1659575249
Title
Owner
Phone
(281) 974-1036

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

10101 Harwin Drive
Suite 315
Houston, TX 77036

Mailing address

10101 Harwin Drive
Suite 315
Houston, TX 77036
Phone (281) 974-1036

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090721000659 TX Part A Provider - Home Health Agency 0648322743 Practice locations: Houston, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1437390945. Details of each certification follow.

Home health agency certification: CCN 747449

Legal name
SMARTLIVING HEALTHCARE SERVICES INC.
Doing business as
SMARTLIVING HEALTHCARE SERVICES
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 15, 2010
Last certification
Aug 22, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Feb 21, 2009 in TX
Enrollment address
3731 Heatherbloom Dr
Houston, TX 77045-5603

Care Compare: Home health agency

Medicare Care Compare
Listed as
Smartliving Healthcare ServicesCCN 747449 · All quality measures
Ownership
Proprietary
Certified
Sep 15, 2010
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1099039Smartliving Healthcare Services Inc3731 Heatherbloom Dr, Houston, TX 77045Certificate of waiverMay 3, 2027

National Provider Directory

National Provider Directory

Locations

10101 Harwin Dr
Ste 315
Houston, TX 77036
Phone (281) 974-1036

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Emelike U Agomo Individual 5% Or Greater Direct Ownership InterestOwner Mar 15, 2014 100%
Corporate OfficerCeo/Director Mar 15, 2014 100%
Corporate DirectorCeo/Director Mar 15, 2014
W-2 Managing EmployeeCeo/Director Mar 15, 2014
Operational/Managerial ControlCeo/Director Mar 15, 2014 100%

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1236816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425427200000",
    "number": "1437390945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10101 HARWIN DRIVE",
            "address_2": "SUITE 315",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77036",
            "telephone_number": "281-974-1036",
            "fax_number": "832-830-8406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10101 HARWIN DRIVE",
            "address_2": "SUITE 315",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77036",
            "telephone_number": "281-974-1036",
            "fax_number": "832-830-8406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMARTLIVING HEALTHCARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-12",
        "last_updated": "2015-03-04",
        "status": "A",
        "authorized_official_last_name": "AGOMO",
        "authorized_official_first_name": "EMELIKE",
        "authorized_official_middle_name": "UCHECHI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-974-1036",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.