Active NPI
Forever Young Adult Care
- Preferred Provider Organization
- Houston, TX
National Provider Identifier
1134573264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Preferred Provider Organization
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryNPI 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.