Organization Active NPI

Corazon Homecare, Inc.

  • Home Health Agency
  • Houston, TX
National Provider Identifier
1881705408
Registry record updated Jan 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
008970 Issued in TX
Legal business name
CORAZON HOMECARE, INC.
Practice address
4105 Chapman St
Houston, TX 77009-4229
Phone
(713) 490-3222
Fax
(713) 490-3555
NPI assigned
Aug 31, 2006
Last updated
Jan 6, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2012

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

Authorized official

Name
Ms. Angelica Valdez, RN, BSN
Title
Administrator, Don
Phone
(713) 490-3222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 008970 TX Primary

Addresses

Primary practice location

4105 Chapman St
Houston, TX 77009-4229

Mailing address

4105 Chapman St
Houston, TX 77009-4229
Phone (713) 490-3222

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091201000559 TX Part A Provider - Home Health Agency 4688713894 Practice locations: Houston, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1881705408. Details of each certification follow.

Home health agency certification: CCN 673112

Legal name
CORAZON HOMECARE, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 7, 2005
Last certification
Jul 8, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jul 30, 2003 in TX
Enrollment address
4105 Chapman
Houston, TX 77009-4229

Care Compare: Home health agency

Medicare Care Compare
Listed as
Corazon Homecare IncCCN 673112 · All quality measures
Ownership
Proprietary
Certified
Jan 7, 2005
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1021777Corazon Homecare, Inc4105 Chapman, Houston, TX 77009Certificate of waiverFeb 1, 2028

National Provider Directory

National Provider Directory

Locations

4105 Chapman St
Houston, TX 77009
Phone (713) 490-3222

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Angelica Valdez Individual 5% Or Greater Direct Ownership Interest Jul 30, 2003 100%
Corporate Officer Jul 30, 2003 100%
Corporate Director Jul 30, 2003 100%
W-2 Managing Employee Jul 30, 2003

Practitioners & affiliated clinicians

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325808000000",
    "number": "1881705408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4105 CHAPMAN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770094229",
            "telephone_number": "713-490-3222",
            "fax_number": "713-490-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4105 CHAPMAN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770094229",
            "telephone_number": "713-490-3222",
            "fax_number": "713-490-3555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORAZON HOMECARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2012-01-06",
        "status": "A",
        "authorized_official_last_name": "VALDEZ",
        "authorized_official_first_name": "ANGELICA",
        "authorized_official_title_or_position": "ADMINISTRATOR, DON",
        "authorized_official_telephone_number": "713-490-3222",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "008970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.