Astral Pediatric Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ASTRAL PEDIATRIC CARE LLC

Practice address

21320 Provincial Blvd
Katy, TX 77450-7580

Phone

(281) 595-1454

NPI assigned

Oct 1, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Nkoli Iloanya, MDNPI 1568755353

Title

President

Phone

(713) 825-6297

Specialties & licenses 2

Addresses

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

Practitioners 1

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

• Nkoli Obioma Iloanya, M.D.

  • Internal Medicine Physician
  • The Woodlands, TX
  • NPI 1568755353
  NPD Authorized official

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

{
    "created_epoch": "1633046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633046400000",
    "number": "1508538075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5323 MACQUARIE POINT LN",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774794795",
            "telephone_number": "713-825-6297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21320 PROVINCIAL BLVD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774507580",
            "telephone_number": "281-595-1454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASTRAL PEDIATRIC CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-01",
        "last_updated": "2021-10-01",
        "certification_date": "2021-09-27",
        "status": "A",
        "authorized_official_last_name": "ILOANYA",
        "authorized_official_first_name": "NKOLI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-825-6297",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Katy, TX
• Providers in Katy, 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 Oct 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.