MEDICARE: XCILITY PEDIATRIC HOME HEALTHCARE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251J00000X	Nursing Care Agency
2	372500000X	Chore Provider
3	372600000X	Adult Companion
4	3747A0650X	Attendant Care Provider
5	3747P1801X	Personal Care Attendant
6	376J00000X	Homemaker
7	251E00000X	Home Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1013472711
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	XCILITY PEDIATRIC HOME HEALTHCARE INC

Provider Business Mailing Address
First Line	:	9896 BISSONNET ST STE 452
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77036-8156
Country	:	US
Telephone Number	:	713-999-9131
Fax Number	:	713-999-9131

Provider Business Practice Location Address
First Line	:	9896 BISSONNET ST STE 452
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77036-8156
Country	:	US
Telephone Number	:	713-999-9131
Fax Number	:	713-999-9131

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	BERNICE MOMBEFOR
Credential	:	RN
Telephone Number	:	713-999-9131

Provider Enumeration Date	:	02/06/2019
Last Update Date	:	02/08/2024

Similar Medicare Providers

1417800848 — MRS. LINET MATHEW LMSW
Practice Location Address:

9896 BISSONNET ST STE 510
HOUSTON, TX
77036-8156

Practice Phone: 346-564-4819
Practice Fax:

1174820252 — ALL STAR HOSPICE INC.
Practice Location Address:

9896 BISSONNET ST STE 455
HOUSTON, TX
77036-8156

Practice Phone: 713-988-0600
Practice Fax: 713-988-0602

1134735707 — AGE IN PLACE HOMECARE LLC
Practice Location Address:

9896 BISSONNET ST STE 460
HOUSTON, TX
77036-8156

Practice Phone: 832-728-7168
Practice Fax:

1508666207 — KIRSTEN LYONS LMSW
Practice Location Address:

9896 BISSONNET ST STE 510
HOUSTON, TX
77036-8156

Practice Phone: 832-570-3506
Practice Fax:

1659258457 — BRITTNI RASHON UYATEDE LMSW
Practice Location Address:

9896 BISSONNET ST STE 510
HOUSTON, TX
77036-8156

Practice Phone: 832-776-4488
Practice Fax:

1568340776 — KARNISHA GREENE
Practice Location Address:

9896 BISSONNET ST STE 510
HOUSTON, TX
77036-8156

Practice Phone: 713-248-8227
Practice Fax:

Directions to “XCILITY PEDIATRIC HOME HEALTHCARE INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.