Organization Active NPI

Customized Health Care Services,Inc.

  • Home Health Agency
  • Sugar Land, TX
National Provider Identifier
1669482550
Registry record updated Mar 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CUSTOMIZED HEALTH CARE SERVICES,INC.
Practice address
2225 Williams Trace Blvd
Suite 109
Sugar Land, TX 77478-4513
Phone
(832) 532-0838
Fax
(832) 532-0832
NPI assigned
Aug 9, 2006
Last updated
Mar 2, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2016

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

Authorized official

Name
Dr. Queen Ozigboh, PHARM. D
Title
Administrator/Ceo
Phone
(832) 885-3278

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2225 Williams Trace Blvd
Suite 109
Sugar Land, TX 77478-4513

Mailing address

2225 Williams Trace Blvd
Suite 109
Sugar Land, TX 77478-4513
Phone (832) 532-0838

Other identifiers 1

IdentifierTypeStateIssuer
2193542MedicaidTX

National Provider Directory

National Provider Directory

Locations

2600 S Loop W
Ste 435
Houston, TX 77054
Phone (713) 667-2427

2225 Williams Trace Blvd
Ste 109
Sugar Land, TX 77478
Phone (281) 303-5678

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456876800000",
    "number": "1669482550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2225 WILLIAMS TRACE BLVD",
            "address_2": "SUITE 109",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784513",
            "telephone_number": "832-532-0838",
            "fax_number": "832-532-0832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 WILLIAMS TRACE BLVD",
            "address_2": "SUITE 109",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784513",
            "telephone_number": "832-532-0838",
            "fax_number": "832-532-0832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUSTOMIZED HEALTH CARE SERVICES,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2016-03-02",
        "status": "A",
        "authorized_official_last_name": "OZIGBOH",
        "authorized_official_first_name": "QUEEN",
        "authorized_official_title_or_position": "ADMINISTRATOR/CEO",
        "authorized_official_telephone_number": "832-885-3278",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM. D"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2193542",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2016; 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.