Promed Personnel Services, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

006980 Issued in TX

Legal business name

PROMED PERSONNEL SERVICES, INC.

Doing business as

Promed Home Care

Practice address

4615 Southwest Fwy
Ste 725
Houston, TX 77027-7116

Phone

(713) 626-1644

Fax

(713) 626-2441

NPI assigned

Jun 21, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Marilou Sagullo

Title

Administrator/Ceo

Phone

(713) 626-1644

Specialties & licenses 1

Addresses

Other names 1

• PROMED HOME CARE Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1639175193. Details of each certification follow.

• CCN 459479 Home health agency · Active · Details

Home health agency certification: CCN 459479

Legal name

PROMED PERSONNEL SERVICES, INC.

Doing business as

PROMED HOME CARE

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Oct 21, 1999

Last certification

Apr 29, 2021

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Jun 28, 1993 in TX

Enrollment address

4615 Southwest Fwy
Suite 725
Houston, TX 77027-7162

Listed as

Promed Home CareCCN 459479 · All quality measures

Ownership

Proprietary

Certified

Oct 21, 1999

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Christina Souheil Haddad

  • Internal Medicine Physician
  • Pasadena, TX
  • NPI 1205490141

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329868800000",
    "number": "1639175193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4615 SOUTHWEST FWY",
            "address_2": "STE 725",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770277116",
            "fax_number": "713-626-2441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4615 SOUTHWEST FWY",
            "address_2": "STE 725",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770277116",
            "telephone_number": "713-626-1644",
            "fax_number": "713-626-2441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMED PERSONNEL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-21",
        "last_updated": "2012-02-22",
        "status": "A",
        "authorized_official_last_name": "SAGULLO",
        "authorized_official_first_name": "MARILOU",
        "authorized_official_title_or_position": "ADMINISTRATOR/CEO",
        "authorized_official_telephone_number": "713-626-1644",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "006980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PROMED HOME CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Prolink Business Holdings LLC (Prolink Case Management Group)
• Prolyfe Medical Billing
• Promed & Associated, Inc (United Ambulance)
• Promed Diagnostic Solutions
• Promed EMS LLC
• Promed Supplies LLC
• Promenade Healthcare, PLLC
• Promidel Group LLC
• Prominent Unity Care LLC
• Promise Audiology

• 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 Feb 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.