Active NPI
St Agnes Caregivers Inc
- Personal Care Attendant
- Conroe, TX
National Provider Identifier
1891961256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- Legal business name
- ST AGNES CAREGIVERS INC
- Practice address
- 2419 Crockett Martin Rd
Conroe, TX 77306-6276 - Phone
- (832) 419-1152
- Fax
- (936) 264-1927
- NPI assigned
- May 6, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Aniefiok Innocent Usoro
- Title
- Administration
- Phone
- (832) 419-1152
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| Personal Care Attendant | 3747P1801X | Primary |
Addresses
Primary practice location
2419 Crockett Martin Rd
Conroe, TX 77306-6276
Mailing address
PO Box 2269
Stafford, TX 77497-2269
Phone (832) 419-1152
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891961256 | Medicaid | TX |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Religious Nonmedical Nursing Personnel
- Sugar Land, TX
- NPI 1730193087
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210032000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1642464000000",
"number": "1891961256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2269",
"city": "STAFFORD",
"state": "TX",
"postal_code": "774972269",
"telephone_number": "832-419-1152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2419 CROCKETT MARTIN RD",
"city": "CONROE",
"state": "TX",
"postal_code": "773066276",
"telephone_number": "832-419-1152",
"fax_number": "936-264-1927"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST AGNES CAREGIVERS INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-06",
"last_updated": "2022-01-18",
"certification_date": "2022-01-12",
"status": "A",
"authorized_official_last_name": "USORO",
"authorized_official_first_name": "ANIEFIOK",
"authorized_official_middle_name": "INNOCENT",
"authorized_official_title_or_position": "ADMINISTRATION",
"authorized_official_telephone_number": "832-419-1152",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1891961256",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Conroe, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.