Organization Active NPI

Ac Health Services Inc

  • Home Health Agency
  • Houston, TX
National Provider Identifier
1679668982
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
009242 Issued in TX
Legal business name
AC HEALTH SERVICES INC
Practice address
10103 Fondren Rd Ste 200
Houston, TX 77096
Phone
(713) 771-8570
Fax
(713) 772-8670
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Mary Ohieltz Duruji
Title
Administrator/Don
Phone
(713) 771-8570

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 009242 TX Primary

Addresses

Primary practice location

10103 Fondren Rd Ste 200
Houston, TX 77096

Mailing address

10103 Fondren Rd Ste 200
Houston, TX 77096
Phone (713) 771-8570

Other identifiers 1

IdentifierTypeStateIssuer
171495801MedicaidTX

Other names 1

  • A & C Health Services Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040917000105 TX Part A Provider - Home Health Agency 2264400399 Practice locations: Houston, TX

Home health agency certification: CCN 679451

Legal name
AC HEALTH SERVICES INC
Doing business as
A C HEALTH SERVICES INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 17, 2004
Last certification
Dec 11, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jul 22, 2003 in TX
Enrollment address
10103 Fondren Rd
Ste 380
Houston, TX 77096-4661

Care Compare: Home health agency

Medicare Care Compare
Listed as
Ac Health Services IncCCN 679451
Ownership
Proprietary
Certified
Mar 17, 2004
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

10103 Fondren Rd
Ste 200
Houston, TX 77096
Phone (713) 771-8570

10101 Fondren Rd
Ste 130
Houston, TX 77096
Phone (713) 771-8570

10101 Fondren Rd
Ste 220A
Houston, TX 77096
Phone (713) 771-8570

10103 Fondren Rd
Ste 380
Houston, TX 77096
Phone (713) 771-8570

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Gift Wilcox Individual 5% Or Greater Direct Ownership InterestDirector Jul 1, 2023 51%
W-2 Managing EmployeeAlternate Administrator Jun 4, 2012
Mary O Duruji Individual 5% Or Greater Direct Ownership InterestDirector Jul 1, 2023 49%
W-2 Managing EmployeeAdministrator Mar 19, 2013

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1679668982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10103 FONDREN RD STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77096",
            "telephone_number": "713-771-8570",
            "fax_number": "713-772-8670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10103 FONDREN RD STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77096",
            "telephone_number": "713-771-8570",
            "fax_number": "713-772-8670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AC HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DURUJI",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "OHIELTZ",
        "authorized_official_title_or_position": "ADMINISTRATOR/DON",
        "authorized_official_telephone_number": "713-771-8570",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "009242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "171495801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A & C Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.