Reconnecting Healthcare Group LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

RECONNECTING HEALTHCARE GROUP LLC

Practice address

19714 Saums Rd
Houston, TX 77084-4734

Phone

(832) 607-4083

NPI assigned

Jan 20, 2022

Organization subpart

No

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

Authorized official

Name

Vidah EzeokaNPI 1700480829

Title

Pmhnp-BC

Phone

(832) 607-4083

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Vidah Ifeoma Ezeoka

  • Psychiatric/Mental Health Nurse Practitioner
  • Houston, TX
  • NPI 1700480829
  NPD Authorized official

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

{
    "created_epoch": "1642636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642636800000",
    "number": "1841942950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16519 WAX MALLOW DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770951437",
            "telephone_number": "832-607-4083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19714 SAUMS RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770844734",
            "telephone_number": "832-607-4083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECONNECTING HEALTHCARE GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-20",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-19",
        "status": "A",
        "authorized_official_last_name": "EZEOKA",
        "authorized_official_first_name": "VIDAH",
        "authorized_official_title_or_position": "PMHNP-BC",
        "authorized_official_telephone_number": "832-607-4083"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Houston, TX
• Providers in Houston, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; 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.