Organization Active NPI

Osa Heritage Homes, Inc.

  • In Home Supportive Care Agency
  • Fulshear, TX
National Provider Identifier
1447608690
Registry record updated May 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
144751 Issued in TX
Legal business name
OSA HERITAGE HOMES, INC.
Practice address
4218 Brannon Branch CT
Fulshear, TX 77441-1543
Phone
(832) 392-1786
NPI assigned
May 27, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2016

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

Authorized official

Name
Mrs. Izehiese I Obanor, MD
Title
Administrator
Phone
(832) 392-1786

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 144751 TX Primary

Addresses

Primary practice location

4218 Brannon Branch CT
Fulshear, TX 77441-1543

Mailing address

2419 Fairbreeze Dr
Katy, TX 77494-5103
Phone (832) 392-1786

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1464307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464307200000",
    "number": "1447608690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2419 FAIRBREEZE DR",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774945103",
            "telephone_number": "832-392-1786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4218 BRANNON BRANCH CT",
            "city": "FULSHEAR",
            "state": "TX",
            "postal_code": "774411543",
            "telephone_number": "832-392-1786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSA HERITAGE HOMES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-27",
        "last_updated": "2016-05-27",
        "status": "A",
        "authorized_official_last_name": "OBANOR",
        "authorized_official_first_name": "IZEHIESE",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "832-392-1786",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "TX",
            "license": "144751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fulshear, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2016; 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.