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Justine Fomukong
Home Health Agency in Houston, Texas
NPI 1467836676

Justine Fomukong is a Home Health Agency based in Houston, TX. Justine Fomukong practices in Houston, TX. The NPI Number for Justine Fomukong is 1467836676 and holds a License No. 017805 (Texas).

The current practice location address for Justine Fomukong is 2739 Cypress Island Dr, Houston, TX and can be reached out via phone at 281-780-1226 and via fax at 281-857-6729.

Location: 2739 Cypress Island Dr, Houston, TX, 77073-1601
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467836676
Provider Name
Justine Fomukong
Credential
Provider Entity Type
Individual
Gender
Female
Address
2739 Cypress Island Dr, Houston, TX, 77073-1601
Phone Number
281-780-1226
Fax Number
281-857-6729
Provider Enumeration Date
07/17/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
367886401 05 TX
institution
Provider Business Practice Location Address Details
Address
2739 Cypress Island Dr
City
Houston
State
Texas
Zip
77073-1601
Phone Number
281-780-1226
Fax Number
281-857-6729
person
Provider Business Mailing Address Details
Address
2739 Cypress Island Dr
City
Houston
State
Texas
Zip
77073-1601
Phone Number
281-780-1226
Fax Number
281-857-6729
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Day Training, Developmentally Disabled Services
Speciality
-
Taxonomy
251C00000X
License No.
017805 (Texas)
Definition
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
017805 (Texas)
Definition
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.
person
Provider's Taxonomy Details 3
Type
Nursing Service Related Providers
Classification
Technician
Speciality
Personal Care Attendant
Taxonomy
3747P1801X
License No.
017805 (Texas)
Definition
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
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