Active NPI
Rapha Nursing & Rehabilitation Clinic, Inc
- Home Health Agency
- Houston, TX
National Provider Identifier
1780781716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 008552
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 066118304 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
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.