Edihumble Home Healthcare Incorporated

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

EDIHUMBLE HOME HEALTHCARE INCORPORATED

Practice address

8303 Southwest Fwy Ste 105
Houston, TX 77074-1606

Phone

(713) 429-4161

Fax

(281) 968-3109

NPI assigned

Jan 27, 2011

Organization subpart

No

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

Authorized official

Name

Edith U Uhegwu

Title

Administrator

Phone

(713) 429-4161

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Home health agency certification: CCN 747833

Legal name

EDIHUMBLE HOME HEALTHCARE INCORPORATED

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Mar 13, 2013

Last certification

Mar 5, 2019

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Jan 31, 2011 in TX

Enrollment address

8303 Southwest Fwy
Ste 105
Houston, TX 77074-1606

Listed as

Edihumble Home Healthcare IncorporatedCCN 747833

Ownership

Proprietary

Certified

Mar 13, 2013

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Locations

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1296086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603929600000",
    "number": "1760788418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12430 S GARDEN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770712926",
            "telephone_number": "713-429-4161",
            "fax_number": "281-968-3109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8303 SOUTHWEST FWY STE 105",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770741606",
            "telephone_number": "713-429-4161",
            "fax_number": "281-968-3109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDIHUMBLE HOME HEALTHCARE INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-27",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A",
        "authorized_official_last_name": "UHEGWU",
        "authorized_official_first_name": "EDITH",
        "authorized_official_middle_name": "U",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "713-429-4161"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN/CCN",
            "identifier": "747833",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yolonda M. Edgerton, SAC
• Karen Edgington
• Samson Ediae
• Edicare Professional Healthcare Services, Inc
• Edify Behavioral Management LLC
• Susan Omwanghe Edionwe, M.D.
• Hasini Nuwangi Ediriweera, M.D., PH.D.
• Edison Medical Corporation
• Bruce Edison
• Raneisha Edison

• 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 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.