Manifestation Home Healthcare, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

801477700 Issued in TX

Legal business name

MANIFESTATION HOME HEALTHCARE, INC.

Practice address

1418 New Tree LN
Missouri City, TX 77489-4147

Phone

(281) 313-0535

Fax

(281) 313-0532

NPI assigned

Oct 5, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Felicia Origuede Ojigho

Title

Administrator

Phone

(281) 313-0535

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Home health agency certification: CCN 747849

Legal name

MANIFESTATION HOME HEALTHCARE INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

May 16, 2013

Last certification

Aug 15, 2019

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

May 8, 2014 in TX

Enrollment address

1418 New Tree LN
Missouri City, TX 77489-4147

Listed as

Manifestation Home Healthcare, IncCCN 747849 · All quality measures

Ownership

Proprietary

Certified

May 16, 2013

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

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

{
    "created_epoch": "1317772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488153600000",
    "number": "1952685232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1418 NEW TREE LN",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774894147",
            "telephone_number": "281-313-0535",
            "fax_number": "281-313-0532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1418 NEW TREE LN",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774894147",
            "telephone_number": "281-313-0535",
            "fax_number": "281-313-0532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANIFESTATION HOME HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-05",
        "last_updated": "2017-02-27",
        "status": "A",
        "authorized_official_last_name": "OJIGHO",
        "authorized_official_first_name": "FELICIA",
        "authorized_official_middle_name": "ORIGUEDE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "281-313-0535",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "801477700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Missouri City, TX
• Providers in Missouri City, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.

Verify at the official NPI Registry.