Gina Assisted Living

Primary specialty

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

Legal business name

GINA ASSISTED LIVING

Practice address

28418 Enchanted Shores LN
Fulshear, TX 77441-1791

Phone

(832) 494-0623

NPI assigned

Aug 10, 2021

Organization subpart

No

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

Authorized official

Name

Regina E Besong

Title

Program Manager

Phone

(832) 494-0623

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1628553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628553600000",
    "number": "1104591478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28418 ENCHANTED SHORES LN",
            "city": "FULSHEAR",
            "state": "TX",
            "postal_code": "774411791",
            "telephone_number": "832-494-0623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28418 ENCHANTED SHORES LN",
            "city": "FULSHEAR",
            "state": "TX",
            "postal_code": "774411791",
            "telephone_number": "832-494-0623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GINA ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-10",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A",
        "authorized_official_last_name": "BESONG",
        "authorized_official_first_name": "REGINA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "832-494-0623"
    },
    "taxonomies": [
        {
            "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": []
}

• Fulshear Foot and Ankle PLLC
• Fulshear Home Health Services LLC
• Aaron Gavri, DMD, MSD
• Gentle Guidance Counseling PLLC
• Torey Jamol Gilmore, LPC-ASSOCIATE, NCC
• Goldenpath Homecare LLC
• Vanessa Gonzalez
• Good Texan Enterprises Inc (Homewatch CareGivers of Sugar Land)
• Melissa Gramajo Palmer, BCBA
• Growing Speech, PLLC

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Fulshear, TX
• Providers in Fulshear, 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 Aug 10, 2021; 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.