Organization Active NPI

Provita Housecalls Management LLC

  • General Practice Physician
  • Tomball, TX
National Provider Identifier
1851277016
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
PROVITA HOUSECALLS MANAGEMENT LLC
Practice address
19007 Valentine Padlock Cir
Tomball, TX 77377-3060
Phone
(832) 672-9685
NPI assigned
Aug 13, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Authorized official

Name
Anjenelle Del Rosario, NPNPI 1194460469
Title
Manager
Phone
(832) 672-9685

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

19007 Valentine Padlock Cir
Tomball, TX 77377-3060

Mailing address

19007 Valentine Padlock Cir
Tomball, TX 77377-3060
Phone (832) 672-9685

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251208000278 TX Part B Supplier - Clinic/Group Practice 4688167695 Receives reassigned benefits from 3 practitioners
Practice locations: Tomball, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1755043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755043200000",
    "number": "1851277016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19007 VALENTINE PADLOCK CIR",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773773060",
            "telephone_number": "832-672-9685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19007 VALENTINE PADLOCK CIR",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773773060",
            "telephone_number": "832-672-9685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVITA HOUSECALLS MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-13",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A",
        "authorized_official_last_name": "DEL ROSARIO",
        "authorized_official_first_name": "ANJENELLE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "832-672-9685",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tomball, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.