Individual provider Active NPI

Sibeso Munalula Muyunda-Goodall, CNA

  • Home Health Aide
  • Houston, TX
National Provider Identifier
1912686015
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
400039760422 Issued in OK
Practice address
11906 Princess Garden Way
Houston, TX 77047-3532
Phone
(832) 537-6655
NPI assigned
Jul 17, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X 400039760422 OK Primary

Addresses

Primary practice location

11906 Princess Garden Way
Houston, TX 77047-3532

Mailing address

11906 Princess Garden Way
Houston, TX 77047-3532
Phone (832) 537-6655

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
400039760422OKMDHome Health Aide

Practice roles

OrganizationSpecialtyStatusNew patients
Zuhri Services CurrentSince Jul 21, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1912686015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11906 PRINCESS GARDEN WAY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770473532",
            "telephone_number": "832-537-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11906 PRINCESS GARDEN WAY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770473532",
            "telephone_number": "832-537-6655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUYUNDA-GOODALL",
        "first_name": "SIBESO",
        "middle_name": "MUNALULA",
        "credential": "CNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-17",
        "last_updated": "2023-07-17",
        "certification_date": "2023-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "OK",
            "license": "400039760422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; 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.