Organization Active NPI

NW Convenience Health Care, LLC

  • Personal Care Attendant
  • Houston, TX
National Provider Identifier
1023399508
Registry record updated Mar 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
License
014578 Issued in TX
Legal business name
NW CONVENIENCE HEALTH CARE, LLC
Practice address
13656 Breton Ridge St
Suite C
Houston, TX 77070-6081
Phone
(832) 678-5881
Fax
(832) 678-5882
NPI assigned
Aug 29, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2012

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

Authorized official

Name
Mr. Traevis Anderson
Title
Owner
Phone
(832) 678-5881

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care AttendantGroup: 193400000X SINGLE SPECIALTY GROUP 3747P1801X 014578 TX Primary

Addresses

Primary practice location

13656 Breton Ridge St
Suite C
Houston, TX 77070-6081

Mailing address

13656 Breton Ridge St
Suite C
Houston, TX 77070-6081
Phone (832) 678-5881

National Provider Directory

National Provider Directory

Locations

13656 Breton Ridge St
Ste C
Houston, TX 77070
Phone (832) 678-5881

NPI Registry JSON

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

{
    "created_epoch": "1314576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332115200000",
    "number": "1023399508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13656 BRETON RIDGE ST",
            "address_2": "SUITE C",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770706081",
            "telephone_number": "832-678-5881",
            "fax_number": "832-678-5882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13656 BRETON RIDGE ST",
            "address_2": "SUITE C",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770706081",
            "telephone_number": "832-678-5881",
            "fax_number": "832-678-5882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NW CONVENIENCE HEALTH CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-29",
        "last_updated": "2012-03-19",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "TRAEVIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-678-5881",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": "TX",
            "license": "014578",
            "primary": true
        }
    ],
    "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 Mar 19, 2012; 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.