Organization Active NPI

Expert Living Services Inc

  • Mental Illness Community Based Residential Treatment Facility
  • Sugar Land, TX
National Provider Identifier
1073098075
Registry record updated Sep 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
EXPERT LIVING SERVICES INC
Practice address
17014 Blue Mist Dr
Sugar Land, TX 77498-1957
Phone
(832) 867-8447
Fax
(281) 670-5042
NPI assigned
Sep 26, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2018

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

Authorized official

Name
Chimdike Victor OgbonnayaNPI 1669972519
Title
Administrator
Phone
(832) 867-8447

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

17014 Blue Mist Dr
Sugar Land, TX 77498-1957

Mailing address

17014 Blue Mist Dr
Sugar Land, TX 77498-1957
Phone (832) 867-8447

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1537920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537920000000",
    "number": "1073098075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17014 BLUE MIST DR",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774981957",
            "telephone_number": "832-867-8447",
            "fax_number": "281-670-5042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17014 BLUE MIST DR",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774981957",
            "telephone_number": "832-867-8447",
            "fax_number": "281-670-5042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPERT LIVING SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-26",
        "last_updated": "2018-09-26",
        "status": "A",
        "authorized_official_last_name": "OGBONNAYA",
        "authorized_official_first_name": "CHIMDIKE",
        "authorized_official_middle_name": "VICTOR",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "832-867-8447"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2018; 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.