Organization Active NPI

Xemplary Home Health Care Agency

  • Home Health Agency
  • Missouri City, TX
National Provider Identifier
1790118669
Registry record updated Aug 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
XEMPLARY HOME HEALTH CARE AGENCY
Practice address
1602 Ashmore Dr
Missouri City, TX 77489-2114
Phone
(832) 722-1300
Fax
(281) 437-9419
NPI assigned
Aug 15, 2013
Last updated
Aug 15, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
KINGS STATUS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 15, 2013

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

Authorized official

Name
Ms. Lisa Renee Bohannon
Title
Program Manager
Phone
(832) 722-1300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

1602 Ashmore Dr
Missouri City, TX 77489-2114

Mailing address

1602 Ashmore Dr
Missouri City, TX 77489-2114
Phone (832) 722-1300

National Provider Directory

National Provider Directory
Part of
Xemplary Home Health Care Agency

NPI Registry JSON

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

{
    "created_epoch": "1376524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376524800000",
    "number": "1790118669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 ASHMORE DR",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774892114",
            "telephone_number": "832-722-1300",
            "fax_number": "281-437-9419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 ASHMORE DR",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774892114",
            "telephone_number": "832-722-1300",
            "fax_number": "281-437-9419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XEMPLARY HOME HEALTH CARE AGENCY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KINGS STATUS LLC",
        "enumeration_date": "2013-08-15",
        "last_updated": "2013-08-15",
        "status": "A",
        "authorized_official_last_name": "BOHANNON",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "832-722-1300",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missouri City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2013; 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.