Organization Active NPI

Active Seniors Unlimited, Inc.

  • Child Intellectual and/or Developmental Disabilities Respite Care
  • Houston, TX
National Provider Identifier
1053559583
Registry record updated Jan 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X
Legal business name
ACTIVE SENIORS UNLIMITED, INC.
Practice address
1140 Westmont Dr
Suite 415
Houston, TX 77015-4363
Phone
(713) 330-0296
NPI assigned
Jan 21, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2009

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

Authorized official

Name
Mrs. Diann Simien
Title
Program Manager
Phone
(713) 330-0296

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X Primary

Addresses

Primary practice location

1140 Westmont Dr
Suite 415
Houston, TX 77015-4363

Mailing address

1140 Westmont Dr
Suite 415
Houston, TX 77015-4363
Phone (713) 330-0296

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1232496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232496000000",
    "number": "1053559583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 WESTMONT DR",
            "address_2": "SUITE 415",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770154363",
            "telephone_number": "713-330-0296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 WESTMONT DR",
            "address_2": "SUITE 415",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770154363",
            "telephone_number": "713-330-0296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE SENIORS UNLIMITED, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-21",
        "last_updated": "2009-01-21",
        "status": "A",
        "authorized_official_last_name": "SIMIEN",
        "authorized_official_first_name": "DIANN",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "713-330-0296",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "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 Jan 21, 2009; 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.