Organization Active NPI

Eldercare Therapy and Wellness LLC

  • Clinical Social Worker
  • Houston, TX
National Provider Identifier
1104436997
Registry record updated Aug 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ELDERCARE THERAPY AND WELLNESS LLC
Practice address
5530 Rutherglenn Dr
Houston, TX 77096-4034
Phone
(832) 647-8174
NPI assigned
Aug 5, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2020

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

Authorized official

Name
Heidi Mandl, LCSW
Title
Director
Phone
(832) 647-8174

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

5530 Rutherglenn Dr
Houston, TX 77096-4034

Mailing address

5530 Rutherglenn Dr
Houston, TX 77096-4034

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1596585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596585600000",
    "number": "1104436997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5530 RUTHERGLENN DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770964034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5530 RUTHERGLENN DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770964034",
            "telephone_number": "832-647-8174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDERCARE THERAPY AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-05",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A",
        "authorized_official_last_name": "MANDL",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "832-647-8174",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "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 Aug 5, 2020; 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.