Organization Active NPI

Vikem Home & Health Services

Doing business as Jude O Ejimakor

  • Home Health Agency
  • Fresno, TX
National Provider Identifier
1790013019
Registry record updated Nov 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2009

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
23OtherTXTEXAS DEPARTMENT OF AGING AND DISABILITY SERVICES

Other names 1

  • Jude O Ejimakor Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Jude O Ejimakor2 organizations share this tax ID, including this one

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.

Verify at the official NPI Registry.