Active NPI
Elim Total Healthcare Services LLC
- Home Health Agency
- Rosenberg, TX
National Provider Identifier
1639769193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- ELIM TOTAL HEALTHCARE SERVICES LLC
- Practice address
- 3202 Dogwood Knoll TRL
Rosenberg, TX 77471-6702 - Phone
- (347) 294-9875
- Fax
- (832) 202-0808
- NPI assigned
- Jan 19, 2021
- Organization subpart
- Yes
- Parent organization
- 021201
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Evelyn O Okerulu
- Title
- Manager
- Phone
- (347) 294-9875
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Home Health Agency | 251E00000X | Primary | ||
| Personal Care Attendant | 3747P1801X |
Addresses
Primary practice location
3202 Dogwood Knoll TRL
Rosenberg, TX 77471-6702
Mailing address
3202 Dogwood Knoll TRL
Rosenberg, TX 77471-6702
Phone (347) 294-9875
Other names 1
- Elim Home Health Care Service
National Provider Directory
National Provider Directory- Part of
- Elim Total Healthcare Services LLC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611014400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727827200000",
"number": "1639769193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3202 DOGWOOD KNOLL TRL",
"city": "ROSENBERG",
"state": "TX",
"postal_code": "774716702",
"telephone_number": "347-294-9875",
"fax_number": "183-202-0808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3202 DOGWOOD KNOLL TRL",
"city": "ROSENBERG",
"state": "TX",
"postal_code": "774716702",
"telephone_number": "347-294-9875",
"fax_number": "832-202-0808"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELIM TOTAL HEALTHCARE SERVICES LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "021201",
"enumeration_date": "2021-01-19",
"last_updated": "2024-10-02",
"certification_date": "2024-10-02",
"status": "A",
"authorized_official_last_name": "OKERULU",
"authorized_official_first_name": "EVELYN",
"authorized_official_middle_name": "O",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "347-294-9875",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "3747P1801X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Elim Home Health Care Service",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Rosenberg, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.