Organization Active NPI

Procare Medical Services

  • Home Health Agency
  • Stafford, TX
National Provider Identifier
1619249729
Registry record updated Jul 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
014831 Issued in TX
Legal business name
PROCARE MEDICAL SERVICES
Doing business as
Emaido E. Hailey
Practice address
10701 Corporate Dr
193
Stafford, TX 77477-4096
Phone
(281) 903-7474
Fax
(832) 500-4095
NPI assigned
Feb 4, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2016

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

Authorized official

Name
Ms. Emaido Etukudoh Hailey
Title
Administrator
Phone
(281) 903-7474

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 014831 TX Primary

Addresses

Primary practice location

10701 Corporate Dr
193
Stafford, TX 77477-4096

Mailing address

10701 Corporate Dr
193
Stafford, TX 77477-4096
Phone (281) 903-7474

Other names 1

  • Emaido E. Hailey Doing business as

National Provider Directory

National Provider Directory

Locations

10701 Corporate Dr
Ste 193
Stafford, TX 77477
Phone (281) 903-7474

NPI Registry JSON

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

{
    "created_epoch": "1328313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467331200000",
    "number": "1619249729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10701 CORPORATE DR",
            "address_2": "193",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774774096",
            "telephone_number": "281-903-7474",
            "fax_number": "832-500-4095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10701 CORPORATE DR",
            "address_2": "193",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774774096",
            "telephone_number": "281-903-7474",
            "fax_number": "832-500-4095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROCARE MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-04",
        "last_updated": "2016-07-01",
        "status": "A",
        "authorized_official_last_name": "HAILEY",
        "authorized_official_first_name": "EMAIDO",
        "authorized_official_middle_name": "ETUKUDOH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "281-903-7474",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "014831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emaido E. Hailey",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stafford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2016; 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.