Organization Active NPI

Assured Pediatric Home Health Agency LLC

  • Home Health Agency
  • Mesquite, TX
National Provider Identifier
1982362232
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ASSURED PEDIATRIC HOME HEALTH AGENCY LLC
Practice address
3939 US Highway 80 E Ste 358a
Mesquite, TX 75150-3374
Phone
(405) 923-9935
Fax
(281) 095-5126
NPI assigned
Dec 3, 2021
Last updated
Apr 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Authorized official

Name
Samson Ukaegbu
Title
Owner
Phone
(405) 923-9935

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary
Nursing Care Agency 251J00000X NU
Adult Companion 372600000X NU
Home Health Aide 374U00000X NU
Homemaker 376J00000X NU

Addresses

Primary practice location

3939 US Highway 80 E Ste 358a
Mesquite, TX 75150-3374

Mailing address

3939 US Highway 80 E Ste 358a
Mesquite, TX 75150-3374
Phone (405) 923-9935

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2268105Assured Pediatric Home Health Agency, LLC3939 US Highway 80 E Ste 358a, Mesquite, TX 75150Certificate of waiverSep 6, 2026

National Provider Directory

National Provider Directory

Locations

3939 US Highway 80 E
Ste 358A
Mesquite, TX 75150
Phone (405) 923-9935

NPI Registry JSON

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

{
    "created_epoch": "1638489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713398400000",
    "number": "1982362232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3939 US HIGHWAY 80 E STE 358A",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751503374",
            "telephone_number": "405-923-9935",
            "fax_number": "281-095-5126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 US HIGHWAY 80 E STE 358A",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751503374",
            "telephone_number": "405-923-9935",
            "fax_number": "281-095-5126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSURED PEDIATRIC HOME HEALTH AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-03",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A",
        "authorized_official_last_name": "UKAEGBU",
        "authorized_official_first_name": "SAMSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-923-9935"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.