Organization Active NPI

Ada's Personal Care Home

  • Assisted Living Facility
  • Missouri City, TX
National Provider Identifier
1114186780
Registry record updated Jun 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
101283 Issued in TX
Legal business name
ADA'S PERSONAL CARE HOME
Practice address
2015 Eastfield Cir
Missouri City, TX 77459-3611
Phone
(281) 438-1677
Fax
(281) 438-5853
NPI assigned
Jun 8, 2008
Last updated
Jun 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2008

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

Authorized official

Name
Ms. Sandra Debbie Buchanan, R.N.
Title
Manager
Phone
(832) 890-5282

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 101283 TX Primary

Addresses

Primary practice location

2015 Eastfield Cir
Missouri City, TX 77459-3611

Mailing address

2015 Eastfield Cir
Missouri City, TX 77459-3611
Phone (281) 438-1677

Other identifiers 1

IdentifierTypeStateIssuer
101283OtherTXTDHS LICENSE

National Provider Directory

National Provider Directory
Tax ID family
Ada's Personal Care Home2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1212883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212883200000",
    "number": "1114186780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 EASTFIELD CIR",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774593611",
            "telephone_number": "281-438-1677",
            "fax_number": "281-438-5853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 EASTFIELD CIR",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774593611",
            "telephone_number": "281-438-1677",
            "fax_number": "281-438-5853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADA'S PERSONAL CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-08",
        "last_updated": "2008-06-08",
        "status": "A",
        "authorized_official_last_name": "BUCHANAN",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "DEBBIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "832-890-5282",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": "101283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TDHS LICENSE",
            "identifier": "101283",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Missouri City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2008; 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.