NPIMap

Organization Active NPI

Upscale Revitalization Community Development Center

  • Adult Care Home Facility
  • Missouri City, TX
National Provider Identifier
1104264043
Registry record updated Jun 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
UPSCALE REVITALIZATION COMMUNITY DEVELOPMENT CENTER
Practice address
4440 Lexington Blvd
Missouri City, TX 77459-2821
Phone
(281) 208-4722
Fax
(281) 969-8366
NPI assigned
Jun 13, 2013
Organization subpart
Yes
Parent organization
UPSCALE REVITALIZATION COMMUNITY DEVELOPMENT CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 13, 2013

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

Authorized official

Name
Dr. Rivers R Glover I, D
Title
Ex. Director
Phone
(832) 798-6878

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

4440 Lexington Blvd
Missouri City, TX 77459-2821

Mailing address

4440 Lexington Blvd
Missouri City, TX 77459-2821
Phone (281) 208-4722

Other names 1

  • Upscale L.Y.F.F.E(Leading You For Future Elevation) Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Upscale Revitalization Community Development Corporation3 organizations share this tax ID, including this one
Part of
Upscale Revitalization Community Development Corporation

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1371081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371081600000",
    "number": "1104264043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4440 LEXINGTON BLVD",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774592821",
            "telephone_number": "281-208-4722",
            "fax_number": "281-969-8366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4440 LEXINGTON BLVD",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774592821",
            "telephone_number": "281-208-4722",
            "fax_number": "281-969-8366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPSCALE REVITALIZATION COMMUNITY DEVELOPMENT CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UPSCALE REVITALIZATION COMMUNITY DEVELOPMENT CENTER",
        "enumeration_date": "2013-06-13",
        "last_updated": "2013-06-13",
        "status": "A",
        "authorized_official_last_name": "GLOVER",
        "authorized_official_first_name": "RIVERS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "EX. DIRECTOR",
        "authorized_official_telephone_number": "832-798-6878",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "D"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Upscale L.Y.F.F.E(Leading You For Future Elevation)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Missouri City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2013; 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.