Organization Active NPI

Krystal Home Health Services

  • Home Health Agency
  • Missouri City, TX
National Provider Identifier
1790960532
Registry record updated Dec 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
010901 Issued in TX
Legal business name
KRYSTAL HOME HEALTH SERVICES
Practice address
12619 Grove Park Dr
Missouri City, TX 77489-3923
Phone
(281) 499-9808
Fax
(281) 499-8496
NPI assigned
Dec 28, 2007
Last updated
Dec 28, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2007

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

Authorized official

Name
Mrs. Flori Yevett Onwumere, R.N.
Title
Director
Phone
(281) 499-9808

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 010901 TX Primary

Addresses

Primary practice location

12619 Grove Park Dr
Missouri City, TX 77489-3923

Mailing address

12619 Grove Park Dr
Missouri City, TX 77489-3923
Phone (281) 499-9808

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1198800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198800000000",
    "number": "1790960532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12619 GROVE PARK DR",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774893923",
            "telephone_number": "281-499-9808",
            "fax_number": "281-499-8496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12619 GROVE PARK DR",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774893923",
            "telephone_number": "281-499-9808",
            "fax_number": "281-499-8496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRYSTAL HOME HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-28",
        "last_updated": "2007-12-28",
        "status": "A",
        "authorized_official_last_name": "ONWUMERE",
        "authorized_official_first_name": "FLORI",
        "authorized_official_middle_name": "YEVETT",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "281-499-9808",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "010901",
            "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 Dec 28, 2007; 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.