Organization Active NPI

Light Accommodation Foundation

  • Foster Care Agency
  • Houston, TX
National Provider Identifier
1093347569
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foster Care AgencyTaxonomy code 253J00000X
Legal business name
LIGHT ACCOMMODATION FOUNDATION
Practice address
7322 Southwest Fwy Ste 1176
Houston, TX 77074-2118
Phone
(832) 489-2730
NPI assigned
Feb 12, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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

Authorized official

Name
Darylwon D Jerrols
Title
Ceo
Phone
(832) 489-2730

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X
Lodging Provider 177F00000X
Case Management Agency 251B00000X
Foster Care Agency 253J00000X Primary

Addresses

Primary practice location

7322 Southwest Fwy Ste 1176
Houston, TX 77074-2118

Mailing address

14004 Ginger Cove CT
Pearland, TX 77584-1837
Phone (832) 489-2730

Other names 2

  • Light Restoration Child Placing Agency Doing business as
  • Light Accommodation Foundation Other name

National Provider Directory

National Provider Directory

Locations

7322 Southwest Fwy
Ste 1176
Houston, TX 77074
Phone (832) 489-2730

NPI Registry JSON

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

{
    "created_epoch": "1581465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722902400000",
    "number": "1093347569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14004 GINGER COVE CT",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775841837",
            "telephone_number": "832-489-2730",
            "fax_number": "425-660-7704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7322 SOUTHWEST FWY STE 1176",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770742118",
            "telephone_number": "832-489-2730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHT ACCOMMODATION FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-12",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A",
        "authorized_official_last_name": "JERROLS",
        "authorized_official_first_name": "DARYLWON",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "832-489-2730"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Light Restoration Child Placing Agency",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Light Accommodation Foundation",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Aug 6, 2024; 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.