Organization Active NPI

A-Prime Medical Home Health Inc.

  • Home Health Agency
  • Manor, TX
National Provider Identifier
1902032857
Registry record updated Dec 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
012809 Issued in TX
Legal business name
A-PRIME MEDICAL HOME HEALTH INC.
Practice address
13419 U.S. Hwy 290 East
BLD # 11 Units C, D
Manor, TX 78653-5347
Phone
(512) 476-9600
Fax
(512) 258-3555
NPI assigned
Jun 5, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2014

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

Authorized official

Name
Bibian Onuorah, R.N.
Title
Administrator, Don
Phone
(512) 476-9600

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X TX
Home Health Agency 251E00000X 012809 TX Primary

Addresses

Primary practice location

13419 U.S. Hwy 290 East
BLD # 11 Units C, D
Manor, TX 78653-5347

Mailing address

13419 U.S. Hwy 290 East
BLD # 11 Units C, D
Manor, TX 78653-5347
Phone (512) 476-9600

Other identifiers 1

IdentifierTypeStateIssuer
2883951 (TPI)MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101228000755 TX Part A Provider - Home Health Agency 9537357033 Practice locations: Manor, TX

Home health agency certification: CCN 747621

Legal name
A-PRIME MEDICAL HOME HEALTH, INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 13, 2011
Last certification
Oct 8, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
May 18, 2009 in TX
Enrollment address
13419 US Hwy 290 E BLDG 11, Unit B
Manor, TX 78653-4589
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
A Prime Medical Home Health IncCCN 747621
Ownership
Proprietary
Certified
Oct 13, 2011
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

3218 E Mlk Jr Blvd
Ste 102
Austin, TX 78721
Phone (512) 472-2020

13419 US Highway 290 E
Bldg 11B
Manor, TX 78653
Phone (512) 476-9600

13419 US Highway 290 E
Bldg 11C
Manor, TX 78653
Phone (512) 476-9600

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Appolonia Okereke Individual Corporate OfficerAdministrator/Cfo/Board Member Apr 1, 2013
Corporate DirectorCfo, Board Member, Alternate Adm Dec 1, 2014 50%
W-2 Managing EmployeeAdministrator Apr 1, 2013
OtherCfo, Board Member, Alternate Adm Dec 25, 2014 50%
Bibian N Onuorah Individual 5% Or Greater Direct Ownership Interest Nov 30, 2018 100%
Corporate OfficerAdmin.Don, BRD Mem Nov 30, 2018 100%
Corporate DirectorAdmin.Don, BRD Mem Nov 30, 2018 100%
OtherBoard Member, Treasurer, Secreta Dec 25, 2014 50%

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": "1244160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419897600000",
    "number": "1902032857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13419 U.S. HWY 290 EAST",
            "address_2": "BLD # 11 UNITS C, D",
            "city": "MANOR",
            "state": "TX",
            "postal_code": "786535347",
            "telephone_number": "512-476-9600",
            "fax_number": "512-258-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13419 U.S. HWY 290 EAST",
            "address_2": "BLD # 11 UNITS C, D",
            "city": "MANOR",
            "state": "TX",
            "postal_code": "786535347",
            "telephone_number": "512-476-9600",
            "fax_number": "512-258-3555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A-PRIME MEDICAL HOME HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-05",
        "last_updated": "2014-12-30",
        "status": "A",
        "authorized_official_last_name": "ONUORAH",
        "authorized_official_first_name": "BIBIAN",
        "authorized_official_title_or_position": "ADMINISTRATOR, DON",
        "authorized_official_telephone_number": "512-476-9600",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "012809",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2883951 (TPI)",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manor, TX

Sources for this page

Verify at the official NPI Registry.