Organization Active NPI

Adexon Care

  • Community/Behavioral Health Agency
  • Katy, TX
National Provider Identifier
1902468374
Registry record updated Jul 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ADEXON CARE
Practice address
25807 Westheimer Pkwy Ste 404
Katy, TX 77494-5333
Phone
(281) 725-1721
NPI assigned
Jul 5, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2019

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

Authorized official

Name
Humani OladapoNPI 1659741270
Title
Chief Executive Officer
Phone
(281) 725-1721

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
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

25807 Westheimer Pkwy Ste 404
Katy, TX 77494-5333

Mailing address

25807 Westheimer Pkwy # 404
Katy, TX 77494-5333

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL adexoncare@gmail.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200319002255 TX Part B Supplier - Clinic/Group Practice 6103254479 Receives reassigned benefits from 1 practitioner
Practice locations: Katy, TX

National Provider Directory

National Provider Directory

Locations

11211 Katy Fwy
Ste 230
Houston, TX 77079
Phone (281) 505-7300

25807 Westheimer Pkwy
#404
Katy, TX 77494
Phone (281) 725-1721

25807 Westheimer Pkwy
Ste 404
Katy, TX 77494
Phone (281) 725-1721

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": "1562284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562284800000",
    "number": "1902468374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25807 WESTHEIMER PKWY # 404",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774945333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25807 WESTHEIMER PKWY STE 404",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774945333",
            "telephone_number": "281-725-1721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADEXON CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-05",
        "last_updated": "2019-07-05",
        "status": "A",
        "authorized_official_last_name": "OLADAPO",
        "authorized_official_first_name": "HUMANI",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "281-725-1721"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "adexoncare@gmail.com",
            "affiliation": "N",
            "address_1": "25807 Westheimer Pkwy Ste 404",
            "city": "Katy",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774945333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2019; 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.