Organization Active NPI

Breena Makeda - Koby

  • Home Health Agency
  • Houston, TX
National Provider Identifier
1801975263
Registry record updated May 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
010801 Issued in TX
Legal business name
BREENA MAKEDA - KOBY
Practice address
6105 Beverlyhill St
Ste 102
Houston, TX 77057-6715
Phone
(713) 974-6666
Fax
(713) 974-6667
NPI assigned
Nov 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2011

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

Authorized official

Name
Ms. Breena I Makeda-Koby, RN
Title
Director
Phone
(713) 974-6666

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 010801 TX Primary

Addresses

Primary practice location

6105 Beverlyhill St
Ste 102
Houston, TX 77057-6715

Mailing address

6105 Beverlyhill St
Ste 102
Houston, TX 77057-6715
Phone (713) 974-6666

Other identifiers 2

IdentifierTypeStateIssuer
010801OtherTXLICENSE #
011830OtherTXCMS

Other names 1

  • Beechwood Home Health Doing business as

National Provider Directory

National Provider Directory

Locations

6105 Beverlyhill St
Ste 102
Houston, TX 77057
Phone (240) 595-5684

NPI Registry JSON

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

{
    "created_epoch": "1162598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305590400000",
    "number": "1801975263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6105 BEVERLYHILL ST",
            "address_2": "STE 102",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770576715",
            "telephone_number": "713-974-6666",
            "fax_number": "713-974-6667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6105 BEVERLYHILL ST",
            "address_2": "STE 102",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770576715",
            "telephone_number": "713-974-6666",
            "fax_number": "713-974-6667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREENA MAKEDA - KOBY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-04",
        "last_updated": "2011-05-17",
        "status": "A",
        "authorized_official_last_name": "MAKEDA-KOBY",
        "authorized_official_first_name": "BREENA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "713-974-6666",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "010801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "010801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMS",
            "identifier": "011830",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beechwood Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2011; 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.