Trans-American Healthcare, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

008472 Issued in TX

Legal business name

TRANS-AMERICAN HEALTHCARE, INC.

Practice address

9894 Bissonnet St
Suite 388
Houston, TX 77036-8239

Phone

(713) 778-9339

Fax

(713) 778-9340

NPI assigned

May 19, 2006

Organization subpart

No

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

Authorized official

Name

Kate C. Mbidoaka, RN

Title

Administrator

Phone

(713) 778-9339

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Home health agency certification: CCN 679389

Legal name

TRANS-AMERICAN HEALTHCARE, INC.

Doing business as

TRANS-AMERICAN HEALTHCARE, INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Dec 10, 2003

Last certification

Jan 15, 2020

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Apr 10, 2001 in TX

Enrollment address

6111 Evening Sun CT
Richmond, TX 77469-9873

Listed as

Trans-American Healthcare, IncCCN 679389

Ownership

Proprietary

Certified

Dec 10, 2003

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Locations

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.

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192665600000",
    "number": "1447204094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9894 BISSONNET ST",
            "address_2": "SUITE 388",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770368239",
            "telephone_number": "713-778-9339",
            "fax_number": "713-778-9340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9894 BISSONNET ST",
            "address_2": "SUITE 388",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770368239",
            "telephone_number": "713-778-9339",
            "fax_number": "713-778-9340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANS-AMERICAN HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2007-10-18",
        "status": "A",
        "authorized_official_last_name": "MBIDOAKA",
        "authorized_official_first_name": "KATE",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "713-778-9339",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "008472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HCSSA LICENSE",
            "identifier": "008472",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Houston, TX
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• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; 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.

Verify at the official NPI Registry.