Medpsych Home Healthcare Corporation

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

011330 Issued in TX

Legal business name

MEDPSYCH HOME HEALTHCARE CORPORATION

Practice address

11999 Katy Freeway Suite 225
Houston, TX 77079

Phone

(281) 693-6700

Fax

(281) 693-6784

NPI assigned

Aug 21, 2007

Last updated

Oct 22, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Esther M Jackson

Title

Ceo

Phone

(281) 693-6700

Specialties & licenses 6

Addresses

Other identifiers 3

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287705600000",
    "number": "1699968842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24702 PLYMPTON DR",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774946131",
            "telephone_number": "281-693-6700",
            "fax_number": "281-693-6784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11999 KATY FREEWAY SUITE 225",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77079",
            "telephone_number": "281-693-6700",
            "fax_number": "281-693-6784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDPSYCH HOME HEALTHCARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-21",
        "last_updated": "2010-10-22",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "ESTHER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "281-693-6700",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "011330",
            "primary": true
        },
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": "TX",
            "license": "011330",
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "TX",
            "license": "011330",
            "primary": false
        },
        {
            "code": "376G00000X",
            "taxonomy_group": "",
            "desc": "Nursing Home Administrator",
            "state": "TX",
            "license": "011330",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "TX",
            "license": "011330",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DADS",
            "identifier": "011330",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "194394601",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME HEALTHCARE AGENCY",
            "identifier": "011330",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Houston, TX
• Providers in Houston, 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 Oct 22, 2010; 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.