Organization Active NPI

St Agnes Caregivers Inc

  • Personal Care Attendant
  • Conroe, TX
National Provider Identifier
1891961256
Registry record updated Jan 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
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

Updated by the provider on Jan 18, 2022

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

Authorized official

Name
Mrs. Aniefiok Innocent UsoroNPI 1730193087
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)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Personal Care AttendantGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1891961256MedicaidTX

National Provider Directory

National Provider Directory

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": "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.

Verify at the official NPI Registry.