NPIMap

Organization Active NPI

CGN Healthcare Services Inc.

  • Home Health Agency
  • Houston, TX
National Provider Identifier
1467692483
Registry record updated Dec 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
012639 Issued in TX
Legal business name
CGN HEALTHCARE SERVICES INC.
Practice address
8700 Commerce Park Dr
Suite 147
Houston, TX 77036-7497
Phone
(713) 589-9060
Fax
(713) 774-0400
NPI assigned
Mar 3, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2017

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

Authorized official

Name
Charles JohnsonNPI 1225396617
Title
Owner/Alternate Administrator
Phone
(713) 589-9060

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 012639 TX Primary

Addresses

Primary practice location

8700 Commerce Park Dr
Suite 147
Houston, TX 77036-7497

Mailing address

8700 Commerce Park Dr
Suite 147
Houston, TX 77036-7497
Phone (713) 589-9060

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090908000157 TX Part A Provider - Home Health Agency 8527113042 Practice locations: Houston, TX

Home health agency certification: CCN 747575

Legal name
CGN HEALTHCARE SERVICES INC.
Doing business as
AMAZON HEALTH SERVICES
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 13, 2011
Last certification
Jun 24, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Dec 12, 2006 in TX
Enrollment address
10777 Westheimer Rd
Ste 1100
Houston, TX 77042-3462
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Amazon Health ServicesCCN 747575 · All quality measures
Ownership
Proprietary
Certified
Jul 13, 2011
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

8700 Commerce Park Dr
Ste 147
Houston, TX 77036
Phone (713) 589-9060

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Tolulope Opeloye Individual 5% Or Greater Direct Ownership Interest Nov 20, 2017 50%
W-2 Managing Employee Nov 20, 2017
Charles Johnson Individual 5% Or Greater Direct Ownership Interest Nov 20, 2017 50%

Practitioners & affiliated clinicians

Practitioners 2

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": "1236038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513468800000",
    "number": "1467692483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8700 COMMERCE PARK DR",
            "address_2": "SUITE 147",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770367497",
            "telephone_number": "713-589-9060",
            "fax_number": "713-774-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 COMMERCE PARK DR",
            "address_2": "SUITE 147",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770367497",
            "telephone_number": "713-589-9060",
            "fax_number": "713-774-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CGN HEALTHCARE SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-03",
        "last_updated": "2017-12-17",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER/ALTERNATE ADMINISTRATOR",
        "authorized_official_telephone_number": "713-589-9060"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "012639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.