Primal Residential Care Services LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

PRIMAL RESIDENTIAL CARE SERVICES LLC

Practice address

9422 Three Stone LN
Tomball, TX 77375-3393

Phone

(703) 398-9323

NPI assigned

Oct 11, 2025

Organization subpart

No

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

Authorized official

Name

Mbwameh Kiambom Sama, RNNPI 1487132502

Title

Director

Phone

(703) 398-9323

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mbwameh K Sama

  • Registered Nurse
  • Conroe, TX
  • NPI 1487132502
  NPD Authorized official

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

{
    "created_epoch": "1760140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760140800000",
    "number": "1013883792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9422 THREE STONE LN",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773753393",
            "telephone_number": "703-398-9323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9422 THREE STONE LN",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773753393",
            "telephone_number": "703-398-9323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMAL RESIDENTIAL CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-11",
        "last_updated": "2025-10-11",
        "certification_date": "2025-10-11",
        "status": "A",
        "authorized_official_last_name": "SAMA",
        "authorized_official_first_name": "MBWAMEH",
        "authorized_official_middle_name": "KIAMBOM",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "703-398-9323",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Tomball, TX
• Providers in Tomball, TX by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2025; 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.