Immaculate Nursing LLC

Primary specialty

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

Legal business name

IMMACULATE NURSING LLC

Practice address

3125 Boulder Ranch Dr
Houston, TX 77063-1482

Phone

(832) 517-5572

NPI assigned

Jul 3, 2025

Organization subpart

No

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

Authorized official

Name

Kafayat MogoliNPI 1740176205

Title

Manager

Phone

(832) 497-9982

Specialties & licenses 2

Addresses

Practitioners 1

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

• Kafayat Mogoli

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Houston, TX
  • NPI 1740176205

  Community Based Residential Treatment Facility, Intellectual and/Or Developmental Disabilities

  NPD Authorized official

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

{
    "created_epoch": "1751500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787875200000",
    "number": "1023907938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3125 BOULDER RANCH DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770631482",
            "telephone_number": "832-517-5572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 BOULDER RANCH DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770631482",
            "telephone_number": "832-517-5572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMMACULATE NURSING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-03",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A",
        "authorized_official_last_name": "MOGOLI",
        "authorized_official_first_name": "KAFAYAT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "832-497-9982"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vickie Lynn Imler, MSPT
• Immaculate Care
• Immaculate EMS, Inc
• Immaculate Home Care
• Immaculate Living Care, LLC
• Immaculate Transportation LLC
• Nang Immanivong
• Immanuel Dental Center
• Josepha Immanuel, M.D
• Kevin Emitseilu Immanuel, M.D

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Houston, TX
• Providers in Houston, 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 Aug 28, 2026; 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.