Active NPI
Three B'S Home Living LLC
- Adult Care Home Facility
- Houston, TX
National Provider Identifier
1104679885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- Legal business name
- THREE B'S HOME LIVING LLC
- Practice address
- 15210 Mira Vista Dr
Houston, TX 77083-4211 - Phone
- (713) 776-9996
- Fax
- (713) 776-9994
- NPI assigned
- Apr 10, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Godwin C Amaefule
- Title
- Ceo
- Phone
- (713) 776-9996
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | Primary |
Addresses
Primary practice location
15210 Mira Vista Dr
Houston, TX 77083-4211
Mailing address
PO Box 720460
Houston, TX 77272-0460
Phone (713) 776-9996
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712707200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1712707200000",
"number": "1104679885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 720460",
"city": "HOUSTON",
"state": "TX",
"postal_code": "772720460",
"telephone_number": "713-776-9996",
"fax_number": "713-776-9994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15210 MIRA VISTA DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770834211",
"telephone_number": "713-776-9996",
"fax_number": "713-776-9994"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THREE B'S HOME LIVING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-10",
"last_updated": "2024-04-10",
"certification_date": "2024-04-10",
"status": "A",
"authorized_official_last_name": "AMAEFULE",
"authorized_official_first_name": "GODWIN",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "713-776-9996"
},
"taxonomies": [
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"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 Apr 10, 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.