Organization Active NPI

Forever Young Adult Care

  • Preferred Provider Organization
  • Houston, TX
National Provider Identifier
1134573264
Registry record updated Apr 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
Legal business name
FOREVER YOUNG ADULT CARE
Practice address
12801 Roydon Dr. Apt 2215
Houston, TX 77034
Phone
(281) 786-9809
NPI assigned
Apr 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2016

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

Authorized official

Name
Ms. Latavia Dominique Carter
Title
Mananger
Phone
(281) 786-9809

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X Primary

Addresses

Primary practice location

12801 Roydon Dr. Apt 2215
Houston, TX 77034

Mailing address

12801 Roydon Dr Apt 2215
Houston, TX 77034-4879
Phone (281) 786-9809

Other names 1

  • Forever Young Child Care 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": "1460592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460592000000",
    "number": "1134573264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12801 ROYDON DR APT 2215",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770344879",
            "telephone_number": "281-786-9809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12801 ROYDON DR. APT 2215",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77034",
            "telephone_number": "281-786-9809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREVER YOUNG ADULT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-14",
        "last_updated": "2016-04-14",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "LATAVIA",
        "authorized_official_middle_name": "DOMINIQUE",
        "authorized_official_title_or_position": "MANANGER",
        "authorized_official_telephone_number": "281-786-9809",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Forever Young Child Care",
            "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 Apr 14, 2016; 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.