Up & Away Residential Care, LLC

Primary specialty

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

Legal business name

UP & AWAY RESIDENTIAL CARE, LLC

Practice address

5118 Oakbriar LN
Rosenberg, TX 77469-4704

Phone

(832) 361-5611

Fax

(713) 583-2055

NPI assigned

Nov 9, 2017

Last updated

Nov 9, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Symphony Cook

Title

Owner

Phone

(832) 366-5611

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1510185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510185600000",
    "number": "1073026225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5118 OAKBRIAR LN",
            "city": "ROSENBERG",
            "state": "TX",
            "postal_code": "774694704",
            "telephone_number": "832-361-5611",
            "fax_number": "713-583-2055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5118 OAKBRIAR LN",
            "city": "ROSENBERG",
            "state": "TX",
            "postal_code": "774694704",
            "telephone_number": "832-361-5611",
            "fax_number": "713-583-2055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UP & AWAY RESIDENTIAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-09",
        "last_updated": "2017-11-09",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "SYMPHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-366-5611"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "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 Rosenberg, TX
• Providers in Rosenberg, 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 Nov 9, 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.