MGW Supportive Home Living

Primary specialty

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

Legal business name

MGW SUPPORTIVE HOME LIVING

Practice address

4707 Arborvine CT
Richmond, TX 77469-5700

Phone

(832) 490-4444

Fax

(979) 793-6134

NPI assigned

Feb 3, 2017

Organization subpart

No

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

Authorized official

Name

Monica Monique Green

Title

Director

Phone

(832) 490-4444

Specialties & licenses 1

Addresses

Tax ID family

MGW Supportive Home Living2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• M.G.W. Supportive Home Living

  • Community Health Worker
  • Richmond, TX
  • NPI 1639565252
  NPD tax ID

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

{
    "created_epoch": "1486080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487116800000",
    "number": "1043758626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 193",
            "city": "NEEDVILLE",
            "state": "TX",
            "postal_code": "774610193",
            "telephone_number": "832-490-4444",
            "fax_number": "979-793-6134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4707 ARBORVINE CT",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774695700",
            "telephone_number": "832-490-4444",
            "fax_number": "979-793-6134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MGW SUPPORTIVE HOME LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-03",
        "last_updated": "2017-02-15",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "MONIQUE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "832-490-4444"
    },
    "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 Richmond, TX
• Providers in Richmond, 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 Feb 15, 2017; 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.