Chelsea Gardens at Home LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

CHELSEA GARDENS AT HOME LLC

Practice address

4422 Riverstone Blvd RM 408
Missouri City, TX 77459-7150

Phone

(346) 268-3260

Fax

(281) 499-5107

NPI assigned

Jan 25, 2021

Organization subpart

No

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

Authorized official

Name

Samuel Ajayi

Title

Manager

Phone

(346) 268-3260

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX2 enrollments

Enrollment records 2

Home health agency certification: CCN 748094

Legal name

CHELSEA GARDENS AT HOME LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Mar 31, 2023

Last certification

Mar 16, 2023

Organization structure

LLCProprietary

Enrollment address

4422 Riverstone Blvd
RM 408
Missouri City, TX 77459-7150

Listed as

Chelsea Gardens at Home LLCCCN 748094

Ownership

-

Certified

Mar 31, 2023

Medicare certification status

ActiveFrom the Provider of Services file

All disclosed owners & managing parties 2

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

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Temitope Ajayi, MSN, FNP-C

  • Primary Care Nurse Practitioner
  • Creve Coeur, MO
  • NPI 1235510330

  5% Or Greater Direct Ownership Interest, W-2 Managing Employee

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Temitope Ajayi, MSN, FNP-C

  • Primary Care Nurse Practitioner
  • Creve Coeur, MO
  • NPI 1235510330

  TX

  Medicare reassignment NPD

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

{
    "created_epoch": "1611532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611532800000",
    "number": "1649860438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4422 RIVERSTONE BLVD RM 408",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774597150",
            "telephone_number": "346-268-3260",
            "fax_number": "281-499-5107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4422 RIVERSTONE BLVD RM 408",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774597150",
            "telephone_number": "346-268-3260",
            "fax_number": "281-499-5107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHELSEA GARDENS AT HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-25",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A",
        "authorized_official_last_name": "AJAYI",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "346-268-3260"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chayah Therapy Center Inc.
• Chayah Therapy Inc
• Vernell Yvette Cheeks, RN,MSN
• Cini Cheeran, PHARM D
• Nina Perrault Chegireddy, MD
• Chelsea Winterfeld, PLLC
• Chelsy Health Care Services Inc
• Dongning Chen, MD
• Jason Ka Hei Chen
• Karen Chen

• All providers in Missouri City, TX
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2021; 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.