Organization Active NPI

Zaphiro Home Health, LLC

  • Home Health Agency
  • Houston, TX
National Provider Identifier
1497397749
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ZAPHIRO HOME HEALTH, LLC
Practice address
1880 S Dairy Ashford Rd Ste 356
Houston, TX 77077-4874
Phone
(713) 909-6864
Fax
(346) 571-5964
NPI assigned
Oct 8, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2023

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

Authorized official

Name
Deyvis Camejo BustoNPI 1265195820
Title
Owner/Treasurer
Phone
(713) 909-6864

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

1880 S Dairy Ashford Rd Ste 356
Houston, TX 77077-4874

Mailing address

1880 S Dairy Ashford Rd Ste 356
Houston, TX 77077-4874
Phone (713) 909-6864

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200813003800 TX Part A Provider - Home Health Agency 7012333594 Practice locations: Houston, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1497397749. Details of each certification follow.

Home health agency certification: CCN 748019

Legal name
ZAPHIRO HOME HEALTH LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 4, 2021
Last certification
Aug 4, 2021
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
May 14, 2019 in TX
Enrollment address
1880 S Dairy Ashford Rd
Ste 545
Houston, TX 77077-4847

Care Compare: Home health agency

Medicare Care Compare
Listed as
Zaphiro Home Health, LLCCCN 748019 · All quality measures
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Aug 4, 2021
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2184696Zaphiro Home Health, LLC1880 S Dairy Ashford Rd Suite 356, Houston, TX 77077Certificate of waiverMay 21, 2028

National Provider Directory

National Provider Directory

Locations

1880 S Dairy Ashford Rd
Ste 545
Houston, TX 77077
Phone (713) 909-6864

1880 S Dairy Ashford Rd
Ste 356
Houston, TX 77077
Phone (713) 909-6864

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
Lidibet Morejon Rios Individual 5% Or Greater Direct Ownership Interest Nov 28, 2022 50%
Corporate DirectorOwner/President Nov 28, 2022 50%
W-2 Managing EmployeeOwner/President Nov 28, 2022 50%
Deyvis Camejo Busto Individual 5% Or Greater Direct Ownership InterestOwner/ Treasurer/ Cfo Nov 28, 2022 50%
Corporate DirectorOwner/ Treasurer/ Cfo Nov 28, 2022 50%
W-2 Managing EmployeeOwner/ Treasurer/ Cfo Nov 28, 2022 50%

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 6

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1570492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689638400000",
    "number": "1497397749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 S DAIRY ASHFORD RD STE 356",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770774874",
            "telephone_number": "713-909-6864",
            "fax_number": "346-571-5964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 S DAIRY ASHFORD RD STE 356",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770774874",
            "telephone_number": "713-909-6864",
            "fax_number": "346-571-5964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZAPHIRO HOME HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-08",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A",
        "authorized_official_last_name": "CAMEJO BUSTO",
        "authorized_official_first_name": "DEYVIS",
        "authorized_official_title_or_position": "OWNER/TREASURER",
        "authorized_official_telephone_number": "713-909-6864"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.