Active NPI
Courtney Ivan Jones
- In Home Supportive Care Agency
- Houston, TX
National Provider Identifier
1003049438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Practice address
- 8426 Garden Parks Dr
Houston, TX 77075-4732 - Phone
- (832) 389-2192
- Fax
- (713) 991-2335
- NPI assigned
- Sep 2, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 12
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | TX | ||
| Adult Development & Aging Psychologist | 103TA0700X | TX | ||
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X | TX | ||
| Social Worker | 104100000X | TX | ||
| Case Management Agency | 251B00000X | TX | ||
| Developmentally Disabled Services Day Training Agency | 251C00000X | TX | ||
| Home Health Agency | 251E00000X | TX | ||
| Community/Behavioral Health Agency | 251S00000X | TX | ||
| In Home Supportive Care Agency | 253Z00000X | TX | Primary | |
| Adult Day Care Clinic/Center | 261QA0600X | TX | ||
| Developmental Disabilities Clinic/Center | 261QD1600X | TX | ||
| Adult Mental Health Clinic/Center | 261QM0850X | TX |
Addresses
Primary practice location
8426 Garden Parks Dr
Houston, TX 77075-4732
Mailing address
8426 Garden Parks Dr
Houston, TX 77075-4732
Phone (832) 389-2192
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251849600000",
"number": "1003049438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8426 GARDEN PARKS DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770754732",
"telephone_number": "832-389-2192",
"fax_number": "713-991-2335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8426 GARDEN PARKS DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770754732",
"telephone_number": "832-389-2192",
"fax_number": "713-991-2335"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "COURTNEY",
"middle_name": "IVAN",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-09-02",
"last_updated": "2009-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "TX",
"license": null,
"primary": false
},
{
"code": "103TA0700X",
"taxonomy_group": "",
"desc": "Psychologist, Adult Development & Aging",
"state": "TX",
"license": null,
"primary": false
},
{
"code": "103TM1800X",
"taxonomy_group": "",
"desc": "Psychologist, Intellectual & Developmental Disabilities",
"state": "TX",
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TX",
"license": null,
"primary": false
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "TX",
"license": null,
"primary": false
},
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": "TX",
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "TX",
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "TX",
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "TX",
"license": null,
"primary": true
},
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": "TX",
"license": null,
"primary": false
},
{
"code": "261QD1600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Developmental Disabilities",
"state": "TX",
"license": null,
"primary": false
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": "TX",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.