Organization Active NPI

Houston Vital Signs, Inc.

Doing business as Vital Signs Home Health

  • Home Health Agency
  • Stafford, TX
National Provider Identifier
1689119471
Registry record updated Jun 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HOUSTON VITAL SIGNS, INC.
Doing business as
Vital Signs Home Health
Practice address
10701 Corporate Dr Ste 146A2
Stafford, TX 77477-4096
Phone
(713) 702-0619
NPI assigned
Jan 3, 2017
Last updated
Jun 3, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2022

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

Authorized official

Name
Javonica MotenNPI 1639029671
Title
Owner
Phone
(713) 770-6076

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

10701 Corporate Dr Ste 146A2
Stafford, TX 77477-4096

Mailing address

3130 Grants Lake Blvd Unit 16713
Sugar Land, TX 77496-0835
Phone (281) 980-3288

Other names 1

  • Vital Signs Home Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171026001203 TX Part A Provider - Home Health Agency 6406122092 Practice locations: Stafford, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1689119471. Details of each certification follow.

Home health agency certification: CCN 747817

Legal name
HOUSTON VITAL SIGNS, INC.
Doing business as
YOUR CHOICE HOME HEALTH
Certification status
Terminated Voluntary: merger or closure, Feb 1, 2021
Provider type (POS)
Home health agency
Participating since
Jan 28, 2013
Last certification
Aug 23, 2018
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Enrollment address
11104 W Airport Blvd
Ste 110
Stafford, TX 77477-3016

National Provider Directory

National Provider Directory

Locations

10701 Corporate Dr
Ste 146
Stafford, TX 77477
Phone (713) 702-0619

13916 Lexington Blvd
Sugar Land, TX 77478
Phone (281) 715-7110

3130 Grants Lake Blvd
Unit 16713
Sugar Land, TX 77496

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
Javonice Moten Individual 5% Or Greater Direct Ownership Interest May 1, 2017 100%
W-2 Managing EmployeeField Supervisor Oct 6, 2017 30%
Houston Vital Signs, Inc. Organization, Stafford, TX Corporation 5% Or Greater Direct Ownership Interest May 1, 2017 100%

Change-of-ownership history 1

DateEventCounterparty
Apr 30, 2017 Change of OwnershipThis provider was the buyer Your Choice Home HealthCCN 747817, TX, NPI 1184932519

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1483401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654214400000",
    "number": "1689119471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3130 GRANTS LAKE BLVD UNIT 16713",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774960835",
            "telephone_number": "281-980-3288",
            "fax_number": "281-676-5089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10701 CORPORATE DR STE 146A2",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774774096",
            "telephone_number": "713-702-0619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSTON VITAL SIGNS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-03",
        "last_updated": "2022-06-03",
        "certification_date": "2022-06-03",
        "status": "A",
        "authorized_official_last_name": "MOTEN",
        "authorized_official_first_name": "JAVONICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-770-6076"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vital Signs Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stafford, TX

Sources for this page

Verify at the official NPI Registry.