Organization Active NPI

Northeast NSG. SVCS. PHC HMO Inc

  • Home Health Agency
  • Houston, TX
National Provider Identifier
1508911629
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
007149 Issued in TX
Legal business name
NORTHEAST NSG. SVCS. PHC HMO INC
Practice address
6643 W Montgomery Rd
NA
Houston, TX 77091-3103
Phone
(713) 964-2742
Fax
(713) 862-4010
NPI assigned
Jan 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Authorized official

Name
Prof. Vivian D. Garner, R.N.
Title
Administrator
Phone
(713) 694-2742

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 007149 TX Primary

Addresses

Primary practice location

6643 W Montgomery Rd
NA
Houston, TX 77091-3103

Mailing address

PO Box 16236
Houston, TX 77222-6236
Phone (713) 694-2742

Other names 1

  • northeast nsg.svcs. phc hmo inc Doing business as

National Provider Directory

National Provider Directory

Locations

6643 W Montgomery Rd
Houston, TX 77091
Phone (713) 964-2742

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1508911629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16236",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772226236",
            "telephone_number": "713-694-2742",
            "fax_number": "713-862-4010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6643 W MONTGOMERY RD",
            "address_2": "NA",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770913103",
            "telephone_number": "713-964-2742",
            "fax_number": "713-862-4010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST NSG. SVCS. PHC HMO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2023-09-06",
        "status": "A",
        "authorized_official_last_name": "GARNER",
        "authorized_official_first_name": "VIVIAN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "713-694-2742",
        "authorized_official_name_prefix": "Prof.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "007149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "northeast nsg.svcs. phc hmo inc",
            "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 Sep 6, 2023; 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.