Active NPI
Elohim Home Healthcare Services, Inc.
- Home Health Agency
- Richmond, TX
National Provider Identifier
1659587657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- ELOHIM HOME HEALTHCARE SERVICES, INC.
- Practice address
- 19719 Lark Orchard Way
Richmond, TX 77407-7117 - Phone
- (281) 238-6333
- Fax
- (281) 232-1818
- NPI assigned
- May 15, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Ezekiel O Agboola, BSC
- Title
- Administrator
- Phone
- (281) 238-6333
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary | ||
| Home Health Agency | 251E00000X | 011632 | TX |
Addresses
Primary practice location
19719 Lark Orchard Way
Richmond, TX 77407-7117
Mailing address
19719 Lark Orchard Way
Lark Orchard Way
Richmond, TX 77407-7117
Phone (281) 238-6333
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 011632 | Other | TX | DADS |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1392336000000",
"number": "1659587657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19719 LARK ORCHARD WAY",
"address_2": "LARK ORCHARD WAY",
"city": "RICHMOND",
"state": "TX",
"postal_code": "774077117",
"telephone_number": "281-238-6333",
"fax_number": "281-232-1818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19719 LARK ORCHARD WAY",
"city": "RICHMOND",
"state": "TX",
"postal_code": "774077117",
"telephone_number": "281-238-6333",
"fax_number": "281-232-1818"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELOHIM HOME HEALTHCARE SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-15",
"last_updated": "2014-02-14",
"status": "A",
"authorized_official_last_name": "AGBOOLA",
"authorized_official_first_name": "EZEKIEL",
"authorized_official_middle_name": "O",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "281-238-6333",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "BSC"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "TX",
"license": "011632",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DADS",
"identifier": "011632",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.