Organization Active NPI

Elizabeth Evbuomwan

Doing business as Excel Plus Home Health

  • Pediatric Skilled Nursing Facility
  • Houston, TX
National Provider Identifier
1467992065
Registry record updated Mar 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X
License
656412 Issued in TX
Legal business name
ELIZABETH EVBUOMWAN
Doing business as
Excel Plus Home Health
Practice address
5601 Bonhomme Rd Ste B2
Houston, TX 77036-2044
Phone
(281) 550-8516
Fax
(281) 463-0283
NPI assigned
Mar 1, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2017

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

Authorized official

Name
Elizabeth Evbuomwan, RN
Title
Don
Phone
(281) 550-8516

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Skilled Nursing Facility 3140N1450X 656412 TX Primary

Addresses

Primary practice location

5601 Bonhomme Rd Ste B2
Houston, TX 77036-2044

Mailing address

5601 Bonhomme Rd Ste B2
Houston, TX 77036-2044
Phone (281) 550-8516

Other identifiers 1

IdentifierTypeStateIssuer
205863801MedicaidTX

Other names 1

  • EXCEL PLUS HOME HEALTH Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Elizabeth Evbuomwan2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5601 Bonhomme Rd
Ste B2
Houston, TX 77036
Phone (281) 550-8516

NPI Registry JSON

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

{
    "created_epoch": "1488326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489017600000",
    "number": "1467992065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 BONHOMME RD STE B2",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770362044",
            "telephone_number": "281-550-8516",
            "fax_number": "281-463-0283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 BONHOMME RD STE B2",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770362044",
            "telephone_number": "281-550-8516",
            "fax_number": "281-463-0283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH EVBUOMWAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-01",
        "last_updated": "2017-03-09",
        "status": "A",
        "authorized_official_last_name": "EVBUOMWAN",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "DON",
        "authorized_official_telephone_number": "281-550-8516",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": "TX",
            "license": "656412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205863801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EXCEL PLUS HOME HEALTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 9, 2017; 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.