Organization Active NPI

Amgref Health Systems Corp

  • Home Health Agency
  • Stafford, TX
National Provider Identifier
1992151252
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
AMGREF HEALTH SYSTEMS CORP
Practice address
4418 Bluebonnet Drive
Suite 302
Stafford, TX 77477
Phone
(346) 583-9143
Fax
(281) 944-5682
NPI assigned
May 5, 2016
Last updated
Jul 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Authorized official

Name
Mr. Davis Nomso Egwim
Title
Administrator
Phone
(346) 583-9143

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X NU
Home Health Agency 251E00000X NU Primary
Nursing Care Agency 251J00000X NU
Adult Companion 372600000X NU
Personal Care Attendant 3747P1801X NU
Home Health Aide 374U00000X NU
Homemaker 376J00000X NU
In Home Supportive Care Agency 253Z00000X NU

Addresses

Primary practice location

4418 Bluebonnet Drive
Suite 302
Stafford, TX 77477

Mailing address

4418 Bluebonnet Drive
Suite 302
Stafford, TX 77477
Phone (346) 754-2142

Other identifiers 1

IdentifierTypeStateIssuer
370578201MedicaidTX

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
45D2250617Amgref Health Systems Corp4418 Bluebonnet Dr Suite 302, Stafford, TX 77477Certificate of waiverJan 26, 2028

National Provider Directory

National Provider Directory
Tax ID family
Amgref Health Systems Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

4418 Bluebonnet Dr
Ste 302
Stafford, TX 77477
Phone (346) 583-9143

NPI Registry JSON

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

{
    "created_epoch": "1462406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721606400000",
    "number": "1992151252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4418 BLUEBONNET DRIVE",
            "address_2": "SUITE 302",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "77477",
            "telephone_number": "346-754-2142",
            "fax_number": "281-944-5682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4418 BLUEBONNET DRIVE",
            "address_2": "SUITE 302",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "77477",
            "telephone_number": "346-583-9143",
            "fax_number": "281-944-5682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMGREF HEALTH SYSTEMS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-05",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A",
        "authorized_official_last_name": "EGWIM",
        "authorized_official_first_name": "DAVIS",
        "authorized_official_middle_name": "NOMSO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "346-583-9143",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "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": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "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
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "370578201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stafford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.