Master Pediatric Home Care,P.C.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MASTER PEDIATRIC HOME CARE,P.C.

Practice address

10333 Harwin Dr
Houston, TX 77036-1545

Phone

(713) 640-5809

NPI assigned

Dec 4, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Claude Nathaniel Jackson IV, M.ED., CCC-SLP

Title

Administrator

Phone

(832) 656-7775

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1354579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444608000000",
    "number": "1609111558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10333 HARWIN DR",
            "address_2": "STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770361545",
            "telephone_number": "713-640-5809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10333 HARWIN DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770361545",
            "telephone_number": "713-640-5809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASTER PEDIATRIC HOME CARE,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-04",
        "last_updated": "2015-10-12",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "CLAUDE",
        "authorized_official_middle_name": "NATHANIEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "832-656-7775",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "M.ED., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "TX",
            "license": "015378",
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": "TX",
            "license": "015378",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mehran Massumi, M.D.
• Mastek Enterprises Inc.
• Desiree Marie Masten, MD
• Master Geriatric Care LLC
• Master Peace Wellness & Consulting, PLLC
• Gynette Carol Master, MD
• Raza Ali Master, DO
• Ume Farwa Master
• Masters Anvil
• Masters Health Care Services, Inc.

• Home Health Agency in Houston, TX
• Providers in Houston, 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 12, 2015; 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.