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INTERIM HEALTHCARE HOUSTON SOUTHEAST
NPI 1609332543
Home Health in Houston, TX

Active since February 15, 2019CLIA 45D2282882 · Waiver
11550 FUQUA ST, SUITE 360, HOUSTON, TX 77034(832) 404-2006(832) 404-2336 Get Directions Write a Review

NPPES record last updated: January 17, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 17, 2023, Feb 15, 2019 (2 updates tracked since 2019).

About Interim Healthcare Houston Southeast NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INTERIM HEALTHCARE HOUSTON SOUTHEAST (NPI 1609332543) is a healthcare organization registered as a home health in Houston, Texas and active in the NPI registry since February 2019. The organization holds a CLIA Waiver certificate valid through May 25, 2027 and lists Dawn Bloomer, Owner / Administrator, as its authorized official.

NPPES Registry Identity

NPI1609332543
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameAGESPACE CARE, LLC
Location Address11550 FUQUA ST, SUITE 360Houston, TX 77034-4306
Mailing Address11550 Fuqua St, Suite 360Houston, TX 77034-4306 · (832) 404-2006 · Fax (832) 404-2336
Phone(832) 404-2006
Fax(832) 404-2336
Organization SubpartNo
Authorized OfficialDawn BloomerOwner / Administrator · (832) 798-6166
Enumeration DateFebruary 15, 2019
Last NPPES UpdateJanuary 17, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 17, 2023
✔ NPI 1609332543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
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.
Also ListedIn Home Supportive CareTaxonomy 253Z00000X
11550 FUQUA ST, Houston, TX 77034
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Other Names 2

Doing Business AsInterim Healthcare Houston Southeast
Doing Business AsInterim Healthcare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2282882

Interim Healthcare Houston Southeast · Houston, TX
Active · expires May 25, 2027
CLIA Number45D2282882
Laboratory TypeHome Health Agency
Certificate Effective DateMay 26, 2025
Certificate Expiration DateMay 25, 2027
Laboratory DirectorDawn M. Bloomer
Laboratory Phone(832) 404-2006
Laboratory LocationInterim Healthcare Houston Southeast11550 Fuqua Street Suite 360, Houston, TX 77034
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COASTAL EYE ASSOCIATES, PLLC
Ophthalmology
11550 FUQUA ST, SUITE 250
HOUSTON, TX 77034
Harris County (281) 488-7213
ADVANCED LASER VISION & SURGICAL INSTITUTE
Ophthalmology
11550 FUQUA ST, SUITE 250
HOUSTON, TX 77034
Harris County (281) 464-9616
ARI M. LIPSKY M.D.
Emergency Medicine
11550 FUQUA ST, STE 205
HOUSTON, TX 77034
Harris County (713) 701-9225
ELIZABETH HEDDEN M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
11550 FUQUA ST, STE 560
HOUSTON, TX 77034
Harris County (281) 922-7333
NANCY ESTER STEPHENS O.D.
Optometrist
11550 FUQUA ST, SUITE 250
HOUSTON, TX 77034
Harris County (281) 488-7213

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Agespace Care, LLC's NPI number?

The NPI number for Agespace Care, LLC is 1609332543. It was assigned to this organization in the NPPES registry on February 15, 2019. The provider is doing business as Interim Healthcare Houston Southeast and Interim Healthcare.

Where is Agespace Care, LLC located?

Agespace Care, LLC is located at 11550 Fuqua St Suite 360, Houston, TX 77034. The listed phone number is (832) 404-2006.

What is Agespace Care, LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Does Agespace Care, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2282882) is associated with this NPI, valid through May 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Agespace Care, LLC accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Agespace Care, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Agespace Care, LLC was last updated on January 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.