Providence Wellness Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

801287323 Issued in TX

Legal business name

PROVIDENCE WELLNESS INC

Doing business as

Providence Medical & Mental Health Clinic

Practice address

13155 Westheimer Rd Ste 133
Houston, TX 77077-5529

Phone

(281) 920-0344

Fax

(281) 920-0263

NPI assigned

Oct 27, 2011

Organization subpart

No

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

Authorized official

Name

Esther Akunna Eke-HuberNPI 1336479757

Title

Nurse Practitioner

Phone

(281) 920-0344

Specialties & licenses 2

Addresses

Other identifiers 6

Other names 1

• Providence Medical & Mental Health Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Esther Eke-Huber

  • Psychiatric/Mental Health Nurse Practitioner
  • Houston, TX
  • NPI 1336479757

  Adult Health

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1319673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715558400000",
    "number": "1790061315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13155 WESTHEIMER ROAD",
            "address_2": "SUITE #133",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77077",
            "telephone_number": "281-920-0344",
            "fax_number": "281-920-0263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13155 WESTHEIMER RD STE 133",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770775529",
            "telephone_number": "281-920-0344",
            "fax_number": "281-920-0263"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9898 Bissonnet St Ste 350",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770368025",
            "country_code": "US",
            "telephone_number": "281-920-0344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PROVIDENCE WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-27",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-12",
        "status": "A",
        "authorized_official_last_name": "EKE-HUBER",
        "authorized_official_first_name": "ESTHER",
        "authorized_official_middle_name": "AKUNNA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "281-920-0344"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "801287323",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "363LP0808X",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BOARD OF NURSING",
            "identifier": "APRN11015237",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "363LA2200X",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF NURSING",
            "identifier": "AP118542",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF NURSING",
            "identifier": "118542",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW MEXICO BOARD OF NURSING",
            "identifier": "78132",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Providence Medical & Mental Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Providence Medical & Mental Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Providence Pharmacy & Medical Supplies, Inc. (Providence Pharmacy)
• Providence Physician Associates (Brazos Urgent Care)
• Providence RX Pharmacy LLC
• Providence Total Care LLC
• Providence Total Care LLC
• Providence Wound Care LLC
• Providential Counseling and Consulting Services, PLLC
• Providential Healthcare Services Inc
• Provider Outsourcing Solutions LLC
• Providers of Texas LLC

• Clinic/Center in Houston, TX
• Providers in Houston, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.