Pavilion Home Care LLC

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Legal business name

PAVILION HOME CARE LLC

Practice address

6002 Soledad Pine Cir
Richmond, TX 77407-1045

Phone

(832) 495-1315

NPI assigned

Oct 18, 2023

Last updated

Oct 27, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Chidiebere J AgbaraNPI 1770263675

Title

Administrative Owner

Phone

(832) 495-1315

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Chidiebere J Agbara

  • Home Health Aide
  • Richmond, TX
  • NPI 1770263675
  NPD Authorized official

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

{
    "created_epoch": "1697587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698364800000",
    "number": "1982486460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6002 SOLEDAD PINE CIR",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774071045",
            "telephone_number": "832-455-3394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6002 SOLEDAD PINE CIR",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774071045",
            "telephone_number": "832-495-1315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAVILION HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-18",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A",
        "authorized_official_last_name": "AGBARA",
        "authorized_official_first_name": "CHIDIEBERE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATIVE OWNER",
        "authorized_official_telephone_number": "832-495-1315"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Personal Care Attendant in Richmond, TX
• Providers in Richmond, TX by specialty
• Personal Care Attendant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2023; 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.