Organization Active NPI

Vydell Healthcare Services Inc

  • Home Health Agency
  • Houston, TX
National Provider Identifier
1568619203
Registry record updated Jun 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
VYDELL HEALTHCARE SERVICES INC
Practice address
9898 Bissonnet St
Suite 295
Houston, TX 77036-8270
Phone
(832) 363-9696
Fax
(832) 582-5029
NPI assigned
Aug 25, 2008
Last updated
Jun 25, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2021

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

Authorized official

Name
Prudencia Mpeh Deba, RN
Title
Administration/Owner
Phone
(713) 992-1164

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

9898 Bissonnet St
Suite 295
Houston, TX 77036-8270

Mailing address

9898 Bissonnet St
Suite 295
Houston, TX 77036-8270
Phone (832) 363-9696

Other identifiers 1

IdentifierTypeStateIssuer
6600364MedicaidTX

National Provider Directory

National Provider Directory

Locations

9898 Bissonnet St
Ste 295
Houston, TX 77036
Phone (713) 773-9204

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1219622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624579200000",
    "number": "1568619203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9898 BISSONNET ST",
            "address_2": "SUITE 295",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770368270",
            "telephone_number": "832-363-9696",
            "fax_number": "832-582-5029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9898 BISSONNET ST",
            "address_2": "SUITE 295",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770368270",
            "telephone_number": "832-363-9696",
            "fax_number": "832-582-5029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VYDELL HEALTHCARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-25",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A",
        "authorized_official_last_name": "DEBA",
        "authorized_official_first_name": "PRUDENCIA",
        "authorized_official_middle_name": "MPEH",
        "authorized_official_title_or_position": "ADMINISTRATION/OWNER",
        "authorized_official_telephone_number": "713-992-1164",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6600364",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jun 25, 2021; 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.