Healthcare Provider Details

I. General information

NPI: 1104551415
Provider Name (Legal Business Name): ALDONIA HOME HEALTH AGENCY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2022
Last Update Date: 07/20/2022
Certification Date: 07/20/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20915 WESTGREEN SPRINGS DR
KATY TX
77449-2169
US

IV. Provider business mailing address

20915 WESTGREEN SPRINGS DR
KATY TX
77449-2169
US

V. Phone/Fax

Practice location:
  • Phone: 832-701-0841
  • Fax: 832-218-3000
Mailing address:
  • Phone: 832-701-0841
  • Fax: 832-218-3000

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: MADONIA ALYMER-AKAHIEOBI
Title or Position: OWNER
Credential: FNP
Phone: 832-701-0841