Individual provider Active NPI

Rita N Obodoechina

  • Adult Day Care Clinic/Center
  • Houston, TX
National Provider Identifier
1447675616
Registry record updated Mar 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
1457855355 Issued in TX
Practice address
10503 Rockley Rd
Suite100
Houston, TX 77099-3553
Phone
(281) 498-1554
Fax
(281) 498-1554
NPI assigned
Feb 25, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Day Training/Habilitation Specialist 373H00000X
Adult Day Care Clinic/Center 261QA0600X 1457855355 TX Primary

Addresses

Primary practice location

10503 Rockley Rd
Suite100
Houston, TX 77099-3553

Mailing address

10503 Rockley Rd
Suite100
Houston, TX 77099-3553
Phone (281) 498-1554

Other identifiers 1

IdentifierTypeStateIssuer
261QA0600XMedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1457855355TXMDAdult Day Care Clinic/Center

NPI Registry JSON

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

{
    "created_epoch": "1393286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648598400000",
    "number": "1447675616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10503 ROCKLEY RD",
            "address_2": "SUITE100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770993553",
            "telephone_number": "281-498-1554",
            "fax_number": "281-498-1554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10503 ROCKLEY RD",
            "address_2": "SUITE100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770993553",
            "telephone_number": "281-498-1554",
            "fax_number": "281-498-1554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBODOECHINA",
        "first_name": "RITA",
        "middle_name": "N",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-25",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "TX",
            "license": "1457855355",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "261QA0600X",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; 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.