Pediatric Impressions Home Health Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PEDIATRIC IMPRESSIONS HOME HEALTH INC

Practice address

8700 Commerce Park Drive Ste. 146
Houston, TX 77036-7432

Phone

(281) 954-2554

Fax

(713) 636-3338

NPI assigned

Apr 28, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Ify Cecilia Agbo, BA HONORS/ L.V.N

Title

Administrator

Phone

(281) 954-2554

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1272412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349308800000",
    "number": "1972820140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8700 COMMERCE PARK DR STE 146",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770367432",
            "telephone_number": "281-954-2554",
            "fax_number": "713-636-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 COMMERCE PARK DRIVE STE. 146",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770367432",
            "telephone_number": "281-954-2554",
            "fax_number": "713-636-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC IMPRESSIONS HOME HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-28",
        "last_updated": "2012-10-04",
        "status": "A",
        "authorized_official_last_name": "AGBO",
        "authorized_official_first_name": "IFY",
        "authorized_official_middle_name": "CECILIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "281-954-2554",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BA HONORS/ L.V.N"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Houston, TX
• Providers in Houston, 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 Oct 4, 2012; 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.