Organization Active NPI

Motherland, Inc.

Doing business as Independence Heights Community Health Center

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Houston, TX
National Provider Identifier
1134180201
Registry record updated Mar 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
Legal business name
MOTHERLAND, INC.
Doing business as
Independence Heights Community Health Center
Practice address
4040 Yale St.
Houston, TX 77018-5928
Phone
(713) 290-0001
Fax
(713) 290-0023
NPI assigned
Mar 29, 2006
Last updated
Mar 16, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2012

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

Authorized official

Name
Tia Gipson
Title
Chief Executive Officer
Phone
(713) 290-0001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X TX Primary

Addresses

Primary practice location

4040 Yale St.
Houston, TX 77018-5928

Mailing address

4040 Yale St.
Houston, TX 77018-5928
Phone (713) 290-0001

Other names 1

  • Independence Heights Community Health Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331856000000",
    "number": "1134180201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4040 YALE ST.",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770185928",
            "telephone_number": "713-290-0001",
            "fax_number": "713-290-0023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 YALE ST.",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770185928",
            "telephone_number": "713-290-0001",
            "fax_number": "713-290-0023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOTHERLAND, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-29",
        "last_updated": "2012-03-16",
        "status": "A",
        "authorized_official_last_name": "GIPSON",
        "authorized_official_first_name": "TIA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "713-290-0001"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Independence Heights Community Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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, 2012; 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.