Modesty Home Health, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

013871 Issued in TX

Legal business name

MODESTY HOME HEALTH, LLC

Practice address

3802 Cartwright Rd
Missouri City, TX 77459-2438

Phone

(281) 261-0721

Fax

(832) 539-1541

NPI assigned

Nov 17, 2010

Organization subpart

No

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

Authorized official

Name

Omana C Simon, RNNPI 1801069554

Title

Administrator

Phone

(281) 261-0721

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Home health agency certification: CCN 747733

Legal name

MODESTY HOME HEALTH, LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jun 16, 2012

Last certification

Nov 20, 2019

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

in TX

Enrollment address

3766 Cartwright Rd
Missouri City, TX 77459-2431

Listed as

Modesty Home Health LLCCCN 747733 · All quality measures

Ownership

Proprietary

Certified

Jun 16, 2012

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 3

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Omana C Simon, NP

  • Family Nurse Practitioner
  • Houston, TX
  • NPI 1801069554
  NPD Authorized official

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

{
    "created_epoch": "1289952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608768000000",
    "number": "1497057822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3802 CARTWRIGHT RD",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774592438",
            "telephone_number": "281-261-0721",
            "fax_number": "832-539-1541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3802 CARTWRIGHT RD",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774592438",
            "telephone_number": "281-261-0721",
            "fax_number": "832-539-1541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODESTY HOME HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-17",
        "last_updated": "2020-12-24",
        "certification_date": "2020-12-24",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "OMANA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "281-261-0721",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "013871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Missouri City, TX
• Providers in Missouri City, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.