Organization Active NPI

Elohim Home Healthcare Services, Inc.

  • Home Health Agency
  • Richmond, TX
National Provider Identifier
1659587657
Registry record updated Feb 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Feb 14, 2014

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
011632OtherTXDADS

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.