Organization Active NPI

Huckeye Health Services LLC

  • Home Health Agency
  • Katy, TX
National Provider Identifier
1669775557
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HUCKEYE HEALTH SERVICES LLC
Practice address
21211 Park Wick LN
Katy, TX 77450-4047
Phone
(281) 712-2051
NPI assigned
Dec 14, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Authorized official

Name
Mr. Christopher Ndudi Ojiako
Title
Director
Phone
(281) 712-2051

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Nursing Care Agency 251J00000X
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

21211 Park Wick LN
Katy, TX 77450-4047

Mailing address

5910 Dillon Creek LN
Katy, TX 77494-0488
Phone (281) 712-2051

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111203000158 TX Part A Provider - Home Health Agency 7719152693 Practice locations: Katy, TX

Home health agency certification: CCN 747744

Legal name
HUCKEYE HEALTH SERVICES LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 12, 2012
Last certification
Sep 25, 2018
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Nov 7, 2010 in TX
Enrollment address
24044 Cinco Village Center Blvd
Ste 100
Katy, TX 77494-8433

Care Compare: Home health agency

Medicare Care Compare
Listed as
Huckeye Health Services, LLCCCN 747744
Ownership
Proprietary
Certified
Sep 12, 2012
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2023371Huckeye Health Services LLC24044 Cinco Village Center Blvd Ste 100, Katy, TX 77494Certificate of waiverApr 20, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Paciencia Ojiako Individual 5% Or Greater Direct Ownership Interest Feb 12, 2011
Corporate Director Feb 12, 2011
W-2 Managing Employee Feb 12, 2011
Christopher Ojiako Individual 5% Or Greater Direct Ownership Interest Feb 12, 2011
Corporate Director Feb 12, 2011
W-2 Managing Employee Feb 12, 2011
Florence Ogugua Okafor Individual Corporate DirectorDirector of Nursing Jan 1, 2021
W-2 Managing Employee Jan 1, 2021

Owners & managing parties with NPI records 1

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

NPI Registry JSON

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

{
    "created_epoch": "1292284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718236800000",
    "number": "1669775557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5910 DILLON CREEK LN",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774940488",
            "telephone_number": "281-712-2051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21211 PARK WICK LN",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774504047",
            "telephone_number": "281-712-2051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUCKEYE HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-14",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A",
        "authorized_official_last_name": "OJIAKO",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "NDUDI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "281-712-2051",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.