Organization Active NPI

Corporate Senior Center

  • Adult Care Home Facility
  • Houston, TX
National Provider Identifier
1114041811
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
117648 Issued in TX
Legal business name
CORPORATE SENIOR CENTER
Practice address
9630 Clarewood Dr Ste A2
Houston, TX 77036-3535
Phone
(713) 777-5123
Fax
(713) 271-6689
NPI assigned
Mar 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2021

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

Authorized official

Name
Susan Zhao
Title
Activity Manager
Phone
(281) 380-8158

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X 117648 TX Primary

Addresses

Primary practice location

9630 Clarewood Dr Ste A2
Houston, TX 77036-3535

Mailing address

9630 Clarewood Dr Ste A2
Houston, TX 77036-3535
Phone (713) 777-5123

Other identifiers 1

IdentifierTypeStateIssuer
10014978OtherTXAMERIGROUP ID

National Provider Directory

National Provider Directory

Locations

9630 Clarewood Dr
Ste A2
Houston, TX 77036
Phone (713) 777-5123

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615852800000",
    "number": "1114041811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9630 CLAREWOOD DR STE A2",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770363535",
            "telephone_number": "713-777-5123",
            "fax_number": "713-271-6689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9630 CLAREWOOD DR STE A2",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770363535",
            "telephone_number": "713-777-5123",
            "fax_number": "713-271-6689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORPORATE SENIOR CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A",
        "authorized_official_last_name": "ZHAO",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "ACTIVITY MANAGER",
        "authorized_official_telephone_number": "281-380-8158"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "TX",
            "license": "117648",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP ID",
            "identifier": "10014978",
            "state": "TX"
        }
    ],
    "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 Mar 16, 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.