Active NPI
NW Convenience Health Care, LLC
- Personal Care Attendant
- Houston, TX
National Provider Identifier
1023399508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- License
- 014578
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 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 DirectoryLocations
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.