Individual provider Active NPI

Dolores Estacio Cu

  • Personal Care Attendant
  • Houston, TX
National Provider Identifier
1639930373
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Practice address
9788 Clarewood Dr Ste 206
Houston, TX 77036-3482
Phone
(713) 777-1991
Fax
(713) 777-1980
NPI assigned
Jan 19, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chore Provider 372500000X 016349 TX
Homemaker 376J00000X 016349 TX
Personal Care Attendant 3747P1801X Primary

Addresses

Primary practice location

9788 Clarewood Dr Ste 206
Houston, TX 77036-3482

Mailing address

9788 Clarewood Dr Ste 206
Houston, TX 77036-3482
Phone (713) 777-1991

Other identifiers 1

IdentifierTypeStateIssuer
001025442MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
016349TXMDHomemaker

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Healthcare Services Inc Personal Care Attendant Current Accepting new patients
Evergreen Healthcare Services, Inc. Personal Care Attendant CurrentSince Jan 21, 2024 Accepting new patients
Advanced Healthcare Services Inc Current Accepting new patients

Locations

9788 Clarewood Dr
Ste 206
Houston, TX 77036
Phone (713) 777-1991

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1705622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1639930373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9788 CLAREWOOD DR STE 206",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770363482",
            "telephone_number": "713-777-1991",
            "fax_number": "713-777-1980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9788 CLAREWOOD DR STE 206",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770363482",
            "telephone_number": "713-777-1991",
            "fax_number": "713-777-1980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CU",
        "first_name": "DOLORES",
        "middle_name": "ESTACIO",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-19",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372500000X",
            "taxonomy_group": "",
            "desc": "Chore Provider",
            "state": "TX",
            "license": "016349",
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "TX",
            "license": "016349",
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001025442",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.

Verify at the official NPI Registry.