Active NPI
Vikem Home & Health Services
Doing business as Jude O Ejimakor
- Home Health Agency
- Fresno, TX
National Provider Identifier
1790013019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- VIKEM HOME & HEALTH SERVICES
- Doing business as
- Jude O Ejimakor
- Practice address
- 4507 Twin Elm Dr
Fresno, TX 77545-9535 - Phone
- (972) 422-1436
- Fax
- (972) 200-5042
- NPI assigned
- Nov 24, 2009
- Last updated
- Nov 24, 2009
- 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
- Mr. Jude Okezie Ejimakor
- Title
- Ceo/Owner
- Phone
- (972) 422-1436
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary | ||
| Adult Care Home Facility | 311ZA0620X | |||
| Nursing Facility/Intermediate Care Facility | 313M00000X | |||
| Pediatric Skilled Nursing Facility | 3140N1450X | |||
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Nursing Facility Supplies (DME) | 332BN1400X | |||
| Land Ambulance | 3416L0300X | |||
| Non-emergency Medical Transport (VAN) | 343900000X | |||
| Private Vehicle | 347C00000X |
Addresses
Primary practice location
4507 Twin Elm Dr
Fresno, TX 77545-9535
Mailing address
PO Box 450444
Houston, TX 77245-0444
Phone (972) 422-1436
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 23 | Other | TX | TEXAS DEPARTMENT OF AGING AND DISABILITY SERVICES |
Other names 1
- Jude O Ejimakor
National Provider Directory
National Provider Directory- Tax ID family
- Jude O Ejimakor
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259020800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1259020800000",
"number": "1790013019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 450444",
"city": "HOUSTON",
"state": "TX",
"postal_code": "772450444",
"telephone_number": "972-422-1436",
"fax_number": "972-200-5042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4507 TWIN ELM DR",
"city": "FRESNO",
"state": "TX",
"postal_code": "775459535",
"telephone_number": "972-422-1436",
"fax_number": "972-200-5042"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VIKEM HOME & HEALTH SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2009-11-24",
"last_updated": "2009-11-24",
"status": "A",
"authorized_official_last_name": "EJIMAKOR",
"authorized_official_first_name": "JUDE",
"authorized_official_middle_name": "OKEZIE",
"authorized_official_title_or_position": "CEO/OWNER",
"authorized_official_telephone_number": "972-422-1436",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": null,
"license": null,
"primary": false
},
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": null,
"license": null,
"primary": false
},
{
"code": "3140N1450X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
"state": null,
"license": null,
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BN1400X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": false
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": false
},
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS DEPARTMENT OF AGING AND DISABILITY SERVICES",
"identifier": "23",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Jude O Ejimakor",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fresno, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.