NPIMap

Organization Active NPI

Asian American Health Coalition of the Greater Houston Area

  • Federally Qualified Health Center (FQHC)
  • Houston, TX
National Provider Identifier
1972239341
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
ASIAN AMERICAN HEALTH COALITION OF THE GREATER HOUSTON AREA
Practice address
2112 Aldine Meadows Rd
Houston, TX 77032-3102
Phone
(713) 773-0803
NPI assigned
Jul 28, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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

Authorized official

Name
Jimmy D Mai
Title
Credentialing Coordinator
Phone
(713) 333-7273

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

2112 Aldine Meadows Rd
Houston, TX 77032-3102

Mailing address

7001 Corporate Dr Ste 120
Houston, TX 77036-5113

Other names 1

  • HOPE Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080401000444 TX Part B Supplier - Clinic/Group Practice 7214014208 Receives reassigned benefits from 87 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Houston, TX
O20221111000955 TX Part A Provider - Federally Qualified Health Center (FQHC) 7214014208 Practice locations: Houston, TX

Federally qualified health center certification: CCN 451856

Legal name
ASIAN AMERICAN HEALTH COALITION OF THE GREATER HOUSTON AREA
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Nov 1, 2022
Last certification
Nov 1, 2022
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
2112 Aldine Meadows Rd
Houston, TX 77032-3102

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Asian American Health Coalition of the Greater Houston Area6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

14498 Bellaire Blvd
Ste 3010
Houston, TX 77083

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Penny Yang Individual Corporate OfficerChief Financial Officer Oct 1, 2022
W-2 Managing EmployeeChief Financial Officer Oct 1, 2022
Andrea Caracostis Individual Corporate OfficerChief Executive Officer Oct 1, 2022
W-2 Managing EmployeeChief Executive Officer Oct 1, 2022
Asian American Health Coalition of the Greater Houston Area Organization, Houston, TX Corporation, Non-profit Operational/Managerial Control Oct 1, 2022 100%
Shane Chen Individual Corporate OfficerChief Operating Officer Oct 1, 2022
W-2 Managing EmployeeChief Operating Officer Oct 1, 2022

Owners & managing parties with NPI records 5

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hope Clinic-WestHouston, TX, CCN 741870 Federally qualified health center Operational/Managerial Control (100%) Apr 19, 2000
Hope Clinic - AliefHouston, TX, CCN 741915 Federally qualified health center Operational/Managerial Control (100%) Apr 19, 2000

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 2

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 85

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 85

NPI Registry JSON

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

{
    "created_epoch": "1658966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713312000000",
    "number": "1972239341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7001 CORPORATE DR STE 120",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770365113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 ALDINE MEADOWS RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770323102",
            "telephone_number": "713-773-0803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASIAN AMERICAN HEALTH COALITION OF THE GREATER HOUSTON AREA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-28",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A",
        "authorized_official_last_name": "MAI",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "713-333-7273"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HOPE Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HOPE Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.