Organization Active NPI

Rapha Nursing & Rehabilitation Clinic, Inc

  • Home Health Agency
  • Houston, TX
National Provider Identifier
1780781716
Registry record updated May 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
008552 Issued in TX
Legal business name
RAPHA NURSING & REHABILITATION CLINIC, INC
Practice address
11000 Fondren Rd
C-5
Houston, TX 77096-5513
Phone
(713) 776-2500
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2011

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

Authorized official

Name
Samuel Funsho Fadipe
Title
Administrator
Phone
(713) 776-2500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 008552 TX Primary

Addresses

Primary practice location

11000 Fondren Rd
C-5
Houston, TX 77096-5513

Mailing address

11000 Fondren Rd
C-5
Houston, TX 77096-5513
Phone (713) 776-2500

Other identifiers 1

IdentifierTypeStateIssuer
066118304MedicaidTX

National Provider Directory

National Provider Directory

Locations

11000 Fondren Rd
Ste C5
Houston, TX 77096
Phone (713) 776-2500

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305072000000",
    "number": "1780781716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11000 FONDREN RD",
            "address_2": "C-5",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770965513",
            "telephone_number": "713-776-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11000 FONDREN RD",
            "address_2": "C-5",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770965513",
            "telephone_number": "713-776-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAPHA NURSING & REHABILITATION CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2011-05-11",
        "status": "A",
        "authorized_official_last_name": "FADIPE",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "FUNSHO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "713-776-2500"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "008552",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "066118304",
            "state": "TX"
        }
    ],
    "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 May 11, 2011; 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.