Individual provider Active NPI

Abiola Balogun

  • In Home Supportive Care Agency
  • Rosenberg, TX
National Provider Identifier
1962913848
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
018714 Issued in TX
Practice address
5919 Prince Place Dr
Rosenberg, TX 77471-2652
Phone
(914) 648-6519
Fax
(281) 533-3144
NPI assigned
Oct 18, 2017
Last updated
Feb 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 018714 TX Primary

Addresses

Primary practice location

5919 Prince Place Dr
Rosenberg, TX 77471-2652

Mailing address

5919 Prince Place Dr
Rosenberg, TX 77471-2652
Phone (914) 648-6519

Other practice location 1

15255 Gray Ridge Dr
Houston, TX 77082
Phone (091) 464-8651

Other practice location 2

3030 Shadowbriar Dr
Houston, TX 77082-8330
Phone (713) 450-6031

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
018714TXMDIn Home Supportive Care Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Abby Dot Homecare LLC CurrentSince Mar 20, 2025 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1508284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1962913848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5919 PRINCE PLACE DR",
            "city": "ROSENBERG",
            "state": "TX",
            "postal_code": "774712652",
            "telephone_number": "914-648-6519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5919 PRINCE PLACE DR",
            "city": "ROSENBERG",
            "state": "TX",
            "postal_code": "774712652",
            "telephone_number": "914-648-6519",
            "fax_number": "281-533-3144"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15255 Gray Ridge Dr",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "77082",
            "country_code": "US",
            "telephone_number": "091-464-8651",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3030 Shadowbriar Dr",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770828330",
            "country_code": "US",
            "telephone_number": "713-450-6031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALOGUN",
        "first_name": "ABIOLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-18",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "TX",
            "license": "018714",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 25, 2025; 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.