Icome2U Nursing Providers Inc

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

ICOME2U NURSING PROVIDERS INC

Doing business as

Polaris Integrative Functional Health and Weight Loss

Practice address

419 Vintage LN
Brookshire, TX 77423-3172

Phone

(281) 929-9770

Fax

(832) 336-3831

NPI assigned

Aug 2, 2019

Last updated

Aug 26, 2024By 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

Gwendoline Chuba, NPNPI 1316432750

Title

President

Phone

(281) 929-9770

Specialties & licenses 1

Addresses

Other names 1

• POLARIS INTEGRATIVE FUNCTIONAL HEALTH AND WEIGHT LOSS Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

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.

• Gwendoline N Chuba

  • Gerontology Nurse Practitioner
  • Brookshire, TX
  • NPI 1316432750
  Medicare reassignment Authorized official
• Uzoma Christine Mbonu, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Southern Pines, NC
  • NPI 1508675778

  TX

  Medicare reassignment NPD

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

{
    "created_epoch": "1564704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724630400000",
    "number": "1710532148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 VINTAGE LN",
            "city": "BROOKSHIRE",
            "state": "TX",
            "postal_code": "774233172",
            "telephone_number": "281-929-9770",
            "fax_number": "832-336-3831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 VINTAGE LN",
            "city": "BROOKSHIRE",
            "state": "TX",
            "postal_code": "774233172",
            "telephone_number": "281-929-9770",
            "fax_number": "832-336-3831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICOME2U NURSING PROVIDERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-02",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A",
        "authorized_official_last_name": "CHUBA",
        "authorized_official_first_name": "GWENDOLINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-929-9770",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "POLARIS INTEGRATIVE FUNCTIONAL HEALTH AND WEIGHT LOSS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hands That Care Home Health Services LLC
• Heartline Cares Inc
• Her Well Center, Inc
• Allison Hill, COTA
• Raven C Hopkins, COTA/L
• Praise Igbru
• Inspiration Therapy PLLC
• Odion Iseki
• J'Pic Ventures LLC (J'Pic Ventures Home care)
• Daphne Joyce Johnson, LPC

• Health Service Clinic/Center in Brookshire, TX
• Providers in Brookshire, TX by specialty
• Health Service Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.