Active NPI
Siercam Healthcare Services, LLC
- Home Health Agency
- Rosenberg, TX
National Provider Identifier
1902980709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 010105
- Legal business name
- SIERCAM HEALTHCARE SERVICES, LLC
- Practice address
- 812 3Rd St
Rosenberg, TX 77471-2508 - Phone
- (281) 232-9990
- Fax
- (281) 232-9994
- NPI assigned
- Oct 25, 2006
- 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
- Mr. Charlz Tataw Bisong Sr.
- Title
- Administrator
- Phone
- (281) 232-9990
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 010105 | TX | Primary |
Addresses
Primary practice location
812 3Rd St
Rosenberg, TX 77471-2508
Mailing address
812 3Rd St
Rosenberg, TX 77471-2508
Phone (281) 232-9990
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 182728901 | Medicaid | TX |
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Siercam Healthcare Services LLC
- Ownership
- Proprietary
- Certified
- Oct 12, 2006
- Medicare certification status
- Terminated Involuntary: failure to meet agreement, Nov 1, 2024
- Services
- Nursing, Medical social, Physical therapy, Speech pathology, Occupational therapy
Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address. The facility is not in the current Medicare enrollment files, which can mean its Medicare enrollment has ended (or, for VA and military hospitals, that it does not enroll).
National Provider Directory
National Provider DirectoryLocations
812 3rd St
Rosenberg, TX 77471
Phone (281) 232-9990
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1556755200000",
"number": "1902980709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "812 3RD ST",
"city": "ROSENBERG",
"state": "TX",
"postal_code": "774712508",
"telephone_number": "281-232-9990",
"fax_number": "281-232-9994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "812 3RD ST",
"city": "ROSENBERG",
"state": "TX",
"postal_code": "774712508",
"telephone_number": "281-232-9990",
"fax_number": "281-232-9994"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SIERCAM HEALTHCARE SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-25",
"last_updated": "2019-05-02",
"status": "A",
"authorized_official_last_name": "BISONG",
"authorized_official_first_name": "CHARLZ",
"authorized_official_middle_name": "TATAW",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "281-232-9990",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Sr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "TX",
"license": "010105",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "182728901",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rosenberg, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.