Johannes Mark George

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

14819 Belterraza Dr
Houston, TX 77083-6762

Phone

(832) 594-8913

Fax

(281) 617-7564

NPI assigned

Jan 30, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Supreme Home Care, LLC.

  • Home Health Agency
  • Houston, TX
  • NPI 1538644786
  NPD (past) Authorized official

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

{
    "created_epoch": "1517270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517270400000",
    "number": "1932607389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14819 BELTERRAZA DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770836762",
            "telephone_number": "832-594-8913",
            "fax_number": "281-617-7564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14819 BELTERRAZA DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770836762",
            "telephone_number": "832-594-8913",
            "fax_number": "281-617-7564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "JOHANNES",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-30",
        "last_updated": "2018-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL ASSISTANT SERVICES",
            "identifier": "82-4004828",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeniffer George, PHARMD
• Jimmy David George, PA-C
• Jincy Jacob George, FNP-C
• Jisha George
• Joggy K George, M.D.
• John Thomas George, MD
• Joshua George
• Julie Mary George, FNP
• Juliette George, PSYD
• Kevin George

• Personal Care Attendant in Houston, TX
• Providers in Houston, TX by specialty
• Personal Care Attendant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2018; 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.