Organization Active NPI

Community Prescribed Pediatric Extended Day Care Inc

  • Pediatric Skilled Nursing Facility
  • Wharton, TX
National Provider Identifier
1003206202
Registry record updated Jan 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X
Legal business name
COMMUNITY PRESCRIBED PEDIATRIC EXTENDED DAY CARE INC
Practice address
2918 N Richmond Rd
Wharton, TX 77488-2006
Phone
(281) 565-1733
NPI assigned
Jan 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Olotin A Alatan
Title
Adminitrator
Phone
(281) 565-1733

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Skilled Nursing Facility 3140N1450X Primary

Addresses

Primary practice location

2918 N Richmond Rd
Wharton, TX 77488-2006

Mailing address

5610 Avis Hill CT
Fulshear, TX 77441
Phone (281) 565-1733

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1422316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422316800000",
    "number": "1003206202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5610 AVIS HILL CT",
            "city": "FULSHEAR",
            "state": "TX",
            "postal_code": "77441",
            "telephone_number": "281-565-1733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2918 N RICHMOND RD",
            "city": "WHARTON",
            "state": "TX",
            "postal_code": "774882006",
            "telephone_number": "281-565-1733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY PRESCRIBED PEDIATRIC EXTENDED DAY CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-27",
        "last_updated": "2015-01-27",
        "status": "A",
        "authorized_official_last_name": "ALATAN",
        "authorized_official_first_name": "OLOTIN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINITRATOR",
        "authorized_official_telephone_number": "281-565-1733",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wharton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.