Prosource

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PROSOURCE

Practice address

3011 Cartwright Rd
Ste. 200
Missouri City, TX 77459-2626

Phone

(281) 736-9552

Fax

(281) 416-2190

NPI assigned

Mar 19, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Luis Charles

Title

Admininstrator

Phone

(281) 736-9552

Specialties & licenses 1

Addresses

Tax ID family

Bethel Home Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Bethel Home Care

  • Assisted Living Facility
  • Missouri City, TX
  • NPI 1316188626
  NPD tax ID

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

{
    "created_epoch": "1237420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237420800000",
    "number": "1669613709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3011 CARTWRIGHT RD",
            "address_2": "STE. 200",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774592626",
            "telephone_number": "281-736-9552",
            "fax_number": "281-416-2190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3011 CARTWRIGHT RD",
            "address_2": "STE. 200",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774592626",
            "telephone_number": "281-736-9552",
            "fax_number": "281-416-2190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSOURCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-19",
        "last_updated": "2009-03-19",
        "status": "A",
        "authorized_official_last_name": "CHARLES",
        "authorized_official_first_name": "LUIS",
        "authorized_official_title_or_position": "ADMININSTRATOR",
        "authorized_official_telephone_number": "281-736-9552",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Primer Diagnostics LLC
• Primeway Healthcare Services
• Principled Chiropractic Inc
• Professional Outcomes, Inc.
• Proscript America, Inc.
• Protex Pharmacy LLC
• Protrack Diagnostics
• Brandon Pugh, LMT
• Camryn Pugh
• Shajan Joseph Pulickiel

• Home Health Agency in Missouri City, TX
• Providers in Missouri City, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2009; 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.