IMMACULATE HOME HEALTH, INC (NPI# 1245292382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245292382 |
| Entity Type | Organization |
| Organization Name | IMMACULATE HOME HEALTH, INC |
| Practice Address |
12929 Gulf Freeway Suite 101b Houston TX 77034 |
| Mailing Address |
12929 Gulf Fwy Suite 101b Houston TX 77034-4853 |
| Practice Telephone | 7134620083 |
| Practice Fax Number | 7134620091 |
| Mailing Telephone | 7134620083 |
| Mailing Fax Number | 7134620091 |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2014-06-09 |
| Authorized Official Name | MR. KEN R KOEPKE (PRESIDENT) |
| Authorized Official Telephone | 7134620083 |
| Authorized Official Credential | CEO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 008315 | TX | Agencies |
| Street Address |
12929 GULF FREEWAY SUITE 101B |
| City | HOUSTON |
| State | TX |
| Zip Code | 77034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922108869 | Thomas E Wright IIi | Dentist | 12929 Gulf Freeway, Suite 208, Houston, TX 77034 | 2006-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881222990 | See N Focus | Optometrist | 1117 Edgebrook Drive, Houston, TX 77034 | 2020-04-01 |
| 1023579273 | Clear Creek Healthcare, Inc. | Hospice Care, Community Based | 12600 N Featherwood Dr Ste 108, Houston, TX 77034 | 2019-03-29 |
| 1639670052 | Francine Chambers | Licensed Vocational Nurse | 722 Edgebrook, Houston, TX 77034 | 2018-02-21 |
| 1164949699 | Clara Golden | Massage Therapist | 12711 Fuqua Suite 111, Houston, TX 77034 | 2017-08-25 |
| 1720503956 | Optinfusion Solution, LLC | Internal Medicine | 12553 Gulf Freeway, Houston, TX 77034 | 2017-08-09 |
| 1275060527 | Cbcs Rehabilitation Management Group, LLC | Substance Abuse Rehabilitation Facility | 12555 Gulf Freeway, Suite B, Houston, TX 77034 | 2017-05-17 |
| 1184155178 | Jermetrice Nicole Alford | Massage Therapist | 12801 Roydon Dr, Apt #818, Houston, TX 77034 | 2017-03-22 |
| 1134573264 | Forever Young Adult Care | Preferred Provider Organization | 12801 Roydon Dr. Apt 2215, Houston, TX 77034 | 2016-04-14 |
| 1700259702 | Raymond Christian Sabo | Contractor | 10718 Wall Fern Way, Houston, TX 77034 | 2015-11-12 |
| 1831597574 | Better Life Activity Center | Clinic/Center | 12817 Gulf Freeway, Houston, TX 77034 | 2014-12-11 |
| Find all providers in zip 77034 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063011963 | Diamond Billing & Consulting Services LLC | Home Health | 6607 Navidad Rd, Houston, TX 77083-1063 | 2020-10-21 |
| 1205434032 | Preferred Healthcare Services LLC | Home Health | 5500 Sampson St Apt 5207, Houston, TX 77004-7884 | 2020-10-14 |
| 1699372425 | Concierge Clinicians of Houston, LLC | Home Health | 427 W 20th St Ste 611, Houston, TX 77008-2432 | 2020-10-05 |
| 1336756113 | Shameka Meeks | Home Health | 8701 Town Park Dr Apt 3130, Houston, TX 77036-2625 | 2020-09-25 |
| 1083220719 | Ernemelv Healthcare Inc | Home Health | 9001 S Braeswood Blvd Apt 1816, Houston, TX 77074-2333 | 2020-09-18 |
| 1013522168 | Lermim Home Care LLC | Home Health | 8788 Hammerly Blvd Ste I-1, Houston, TX 77080-6662 | 2020-09-14 |
| 1396350104 | Elora Healthcare Services LLC Inc | Home Health | 12631 Miriam Ln, Houston, TX 77071 | 2020-09-09 |
| 1164033312 | Angel of Mercy Villa LLC | Home Health | 8700 Commerce Park Dr Ste 253, Houston, TX 77036-7432 | 2020-08-12 |
| 1063021400 | Jmk Home Care Solutions | Home Health | 9555 W Sam Houston Pkwy S Ste 410, Houston, TX 77099-2168 | 2020-07-30 |
| 1972112621 | Souls of Nursing Inc | Home Health | 10201 Buffalo Speedway Apt 1203, Houston, TX 77054-2543 | 2020-07-29 |
| Find all providers in HOUSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.