Physicians Independent Living Group Home Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

PHYSICIANS INDEPENDENT LIVING GROUP HOME INC

Practice address

14045 North Fwy
Bldg1
Houston, TX 77090

Phone

(832) 426-3190

NPI assigned

Feb 28, 2023

Organization subpart

No

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

Authorized official

Name

Urooj Shamim

Title

Adminstrator

Phone

(281) 809-3664

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1677542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677542400000",
    "number": "1114626108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14045 NORTH FWY",
            "address_2": "BLDG1",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77090",
            "telephone_number": "832-426-3190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14045 NORTH FWY",
            "address_2": "BLDG1",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77090",
            "telephone_number": "832-426-3190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS INDEPENDENT LIVING GROUP HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-28",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-23",
        "status": "A",
        "authorized_official_last_name": "SHAMIM",
        "authorized_official_first_name": "UROOJ",
        "authorized_official_title_or_position": "ADMINSTRATOR",
        "authorized_official_telephone_number": "281-809-3664"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physicians Network Association
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• Physicians Primary Medical Care PLLC
• Physicians Referral Service

• Assisted Living Facility in Houston, TX
• Providers in Houston, TX by specialty
• Assisted Living Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; 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.