Med-Source Healthcare Services, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

010184 Issued in TX

Legal business name

MED-SOURCE HEALTHCARE SERVICES, INC

Practice address

12926 Dairy Ashford Rd
Suite 150
Sugar Land, TX 77478-3293

Phone

(281) 265-0095

Fax

(281) 201-4531

NPI assigned

Jul 2, 2007

Last updated

Oct 30, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Priscilla N Udeagha, RN

Title

Administrator /Supervising Nurse

Phone

(281) 265-0095

Specialties & licenses 1

Addresses

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Med-Source Homecare Services

  • In Home Supportive Care Agency
  • Sugar Land, TX
  • NPI 1902144660
  NPPES parent name

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256860800000",
    "number": "1578760427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12926 DAIRY ASHFORD RD",
            "address_2": "SUITE 150",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783293",
            "telephone_number": "281-265-0095",
            "fax_number": "281-201-4531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12926 DAIRY ASHFORD RD",
            "address_2": "SUITE 150",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783293",
            "telephone_number": "281-265-0095",
            "fax_number": "281-201-4531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED-SOURCE HEALTHCARE SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-02",
        "last_updated": "2009-10-30",
        "status": "A",
        "authorized_official_last_name": "UDEAGHA",
        "authorized_official_first_name": "PRISCILLA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "ADMINISTRATOR /SUPERVISING NURSE",
        "authorized_official_telephone_number": "281-265-0095",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "010184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy McNiel, CSFA
• Shannon Rene' McWhorter, CSFA, LSA
• MDS First Assistants, LLC
• Denise Meacham-Cannon, CNIM, CRET, R.EP.T
• Med Scripts Homecare Corporation
• Med-Source Homecare Services
• Medbridgeax Billing Services LLC
• Medcena Diagnostics
• Medcore Solutions LLC
• Mallory Medellin, LPC

• Home Health Agency in Sugar Land, TX
• Providers in Sugar Land, 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 30, 2009; 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.