Organization Active NPI

Penaco Home Health Care

  • Home Health Agency
  • Houston, TX
National Provider Identifier
1720139900
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PENACO HOME HEALTH CARE
Practice address
14111 Torrey Village Dr
Houston, TX 77014-1829
Phone
(281) 586-9616
Fax
(281) 586-9292
NPI assigned
Jan 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Chinelo Ogbonne Okeke, BSC. MICROBIOLOGY
Title
Program Administrator
Phone
(281) 703-7389

Specialties & licenses 1

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

Addresses

Primary practice location

14111 Torrey Village Dr
Houston, TX 77014-1829

Mailing address

14111 Torrey Village Dr
Houston, TX 77014-1829
Phone (281) 586-9616

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720139900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14111 TORREY VILLAGE DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770141829",
            "telephone_number": "281-586-9616",
            "fax_number": "281-586-9292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14111 TORREY VILLAGE DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770141829",
            "telephone_number": "281-586-9616",
            "fax_number": "281-586-9292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENACO HOME HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OKEKE",
        "authorized_official_first_name": "CHINELO",
        "authorized_official_middle_name": "OGBONNE",
        "authorized_official_title_or_position": "PROGRAM ADMINISTRATOR",
        "authorized_official_telephone_number": "281-703-7389",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BSC. MICROBIOLOGY"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.