Organization Active NPI

Forever Homehealth, Inc

  • Home Health Agency
  • Houston, TX
National Provider Identifier
1477622397
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
FOREVER HOMEHEALTH, INC
Practice address
16710 Cold Harbor LN
Houston, TX 77083-7206
Phone
(281) 313-0896
Fax
(281) 313-0898
NPI assigned
Nov 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Authorized official

Name
Ms. Alaba Elizabeth Jacob
Title
Don
Phone
(281) 313-0896

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

16710 Cold Harbor LN
Houston, TX 77083-7206

Mailing address

16710 Cold Harbor LN
Houston, TX 77083-7206
Phone (281) 313-0896

Other practice location 1

16710 Cold Harbor Ln
Houston, TX 77083-7206
Phone (281) 313-0896

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070629000059 TX Part A Provider - Home Health Agency 6709985989 Practice locations: Houston, TX

Home health agency certification: CCN 679771

Legal name
FOREVER HOMEHEALTH, INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 16, 2008
Last certification
Oct 3, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Oct 23, 2006 in TX
Enrollment address
16710 Cold Harbor LN
Houston, TX 77083-7206

Care Compare: Home health agency

Medicare Care Compare
Listed as
Forever Homehealth IncCCN 679771
Ownership
Proprietary
Certified
May 16, 2008
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

7100 Regency Square Blvd
Ste 251
Houston, TX 77036
Phone (281) 313-0896

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
Alaba Jacob Individual 5% Or Greater Direct Ownership Interest Sep 15, 2024 100%
W-2 Managing EmployeeAd;Director of Nurses Oct 23, 2006
Akeem Sode Individual W-2 Managing EmployeeAlt Administrator Mar 7, 2007

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726531200000",
    "number": "1477622397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16710 COLD HARBOR LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770837206",
            "telephone_number": "281-313-0896",
            "fax_number": "281-313-0898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16710 COLD HARBOR LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770837206",
            "telephone_number": "281-313-0896",
            "fax_number": "281-313-0898"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16710 Cold Harbor Ln",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770837206",
            "country_code": "US",
            "telephone_number": "281-313-0896",
            "fax_number": "281-313-0898",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FOREVER HOMEHEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A",
        "authorized_official_last_name": "JACOB",
        "authorized_official_first_name": "ALABA",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "DON",
        "authorized_official_telephone_number": "281-313-0896",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.