Organization Active NPI

Healthline Rehab & Medical Clinic, Inc

  • Home Health Agency
  • Houston, TX
National Provider Identifier
1831266287
Registry record updated Apr 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
007865 Issued in TX
Legal business name
HEALTHLINE REHAB & MEDICAL CLINIC, INC
Practice address
4615 North Fwy Ste 204
#106
Houston, TX 77022-2920
Phone
(713) 694-0051
Fax
(713) 694-4711
NPI assigned
Nov 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2008

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

Authorized official

Name
Mr. Hyacinth Madueke Chiedu, CRTT
Title
Administrator
Phone
(713) 694-0051

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 007865 TX Primary
Customized Equipment (DME) 332BC3200X 0062557 TX

Addresses

Primary practice location

4615 North Fwy Ste 204
#106
Houston, TX 77022-2920

Mailing address

4615 North Fwy Ste 204
#204
Houston, TX 77022-2920
Phone (713) 694-0051

Other names 1

  • Horizon Home Health Care Doing business as

National Provider Directory

National Provider Directory

Locations

4615 North Fwy
Ste 106
Houston, TX 77022
Phone (713) 694-0051

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207612800000",
    "number": "1831266287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4615 NORTH FWY STE 204",
            "address_2": "#204",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770222920",
            "telephone_number": "713-694-0051",
            "fax_number": "713-694-4711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4615 NORTH FWY STE 204",
            "address_2": "#106",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770222920",
            "telephone_number": "713-694-0051",
            "fax_number": "713-694-4711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHLINE REHAB & MEDICAL CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2008-04-08",
        "status": "A",
        "authorized_official_last_name": "CHIEDU",
        "authorized_official_first_name": "HYACINTH",
        "authorized_official_middle_name": "MADUEKE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "713-694-0051",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRTT"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "007865",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "TX",
            "license": "0062557",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Horizon Home Health Care",
            "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 Apr 8, 2008; 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.