Organization Active NPI

Good Living Community Care Inc

  • Assisted Living Facility
  • Houston, TX
National Provider Identifier
1114045333
Registry record updated Aug 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
GOOD LIVING COMMUNITY CARE INC
Practice address
5719 Dolores St
Houston, TX 77057-5711
Phone
(713) 953-0848
Fax
(713) 953-0652
NPI assigned
Mar 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2007

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

Authorized official

Name
Mrs. Uraiwan P Tesfaye
Title
President
Phone
(832) 693-8233

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

5719 Dolores St
Houston, TX 77057-5711

Mailing address

5719 Dolores St
Houston, TX 77057-5711
Phone (713) 953-0848

National Provider Directory

National Provider Directory

Locations

5719 Dolores St
Houston, TX 77057
Phone (713) 953-0848

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187740800000",
    "number": "1114045333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5719 DOLORES ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770575711",
            "telephone_number": "713-953-0848",
            "fax_number": "713-953-0652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5719 DOLORES ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770575711",
            "telephone_number": "713-953-0848",
            "fax_number": "713-953-0652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD LIVING COMMUNITY CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-08-22",
        "status": "A",
        "authorized_official_last_name": "TESFAYE",
        "authorized_official_first_name": "URAIWAN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "832-693-8233",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "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 22, 2007; 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.