Organization Active NPI

Hephzibah Beulah Inc

  • Home Health Agency
  • Sugar Land, TX
National Provider Identifier
1710364542
Registry record updated Apr 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
013702 Issued in TX
Legal business name
HEPHZIBAH BEULAH INC
Doing business as
Latom Care Groups Facilities
Practice address
12808 W Airport Blvd
Suite #348
Sugar Land, TX 77478-6184
Phone
(832) 338-9637
NPI assigned
Apr 30, 2015
Organization subpart
Yes
Parent organization
HEPHZIBAH BEULAH INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 30, 2015

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

Authorized official

Name
Omolara O Daramola
Title
Administrator
Phone
(832) 338-9637

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 013702 TX Primary

Addresses

Primary practice location

12808 W Airport Blvd
Suite #348
Sugar Land, TX 77478-6184

Mailing address

12808 W Airport Blvd
Suite #348
Sugar Land, TX 77478-6184
Phone (832) 338-9637

Other names 1

  • Latom Care Groups Facilities Doing business as

National Provider Directory

National Provider Directory
Part of
Hephzibah Beulah Inc

NPI Registry JSON

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

{
    "created_epoch": "1430352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430352000000",
    "number": "1710364542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12808 W AIRPORT BLVD",
            "address_2": "SUITE #348",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774786184",
            "telephone_number": "832-338-9637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12808 W AIRPORT BLVD",
            "address_2": "SUITE #348",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774786184",
            "telephone_number": "832-338-9637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEPHZIBAH BEULAH INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEPHZIBAH BEULAH INC",
        "enumeration_date": "2015-04-30",
        "last_updated": "2015-04-30",
        "status": "A",
        "authorized_official_last_name": "DARAMOLA",
        "authorized_official_first_name": "OMOLARA",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "832-338-9637"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "013702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Latom Care Groups Facilities",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2015; 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.