Active NPI
Dolores Estacio Cu
- Personal Care Attendant
- Houston, TX
National Provider Identifier
1639930373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001025442 | Medicaid | TX |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 016349 | TX | MD | Homemaker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Healthcare Services Inc | Personal Care Attendant | Current | Accepting new patients |
| Evergreen Healthcare Services, Inc. | Personal Care Attendant | Current | 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.
-
- Home Health Agency
- Houston, TX
- NPI 1215192117
Personal Care Attendant
-
- General Practice Physician
- Stafford, TX
- NPI 1265252522
-
- Home Health Agency
- Stafford, TX
- NPI 1578660098
Personal Care Attendant
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.