Organization Active NPI

Simeon Anugwom

Doing business as Sida Health Care and Rehabilitation

  • Community/Behavioral Health Agency
  • Houston, TX
National Provider Identifier
1760708820
Registry record updated Apr 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SIMEON ANUGWOM
Doing business as
Sida Health Care and Rehabilitation
Practice address
5411 Ridge Wind LN
Houston, TX 77053-5223
Phone
(832) 594-3188
Fax
(281) 565-1484
NPI assigned
Apr 14, 2010
Last updated
Apr 14, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2010

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

Authorized official

Name
Mr. Innocent Damian Anugwom, BBA, MPA
Title
Case Worker
Phone
(832) 594-3188

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

5411 Ridge Wind LN
Houston, TX 77053-5223

Mailing address

5411 Ridge Wind LN
Houston, TX 77053-5223
Phone (832) 594-3188

Other identifiers 1

IdentifierTypeStateIssuer
SIMEON3975MedicaidTX

Other names 1

  • SIDA HEALTH CARE AND REHABILITATION Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1271203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271203200000",
    "number": "1760708820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5411 RIDGE WIND LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770535223",
            "telephone_number": "832-594-3188",
            "fax_number": "281-565-1484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5411 RIDGE WIND LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770535223",
            "telephone_number": "832-594-3188",
            "fax_number": "281-565-1484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMEON ANUGWOM",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-14",
        "last_updated": "2010-04-14",
        "status": "A",
        "authorized_official_last_name": "ANUGWOM",
        "authorized_official_first_name": "INNOCENT",
        "authorized_official_middle_name": "DAMIAN",
        "authorized_official_title_or_position": "CASE WORKER",
        "authorized_official_telephone_number": "832-594-3188",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BBA, MPA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SIMEON3975",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SIDA HEALTH CARE AND REHABILITATION",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 14, 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.