Organization Active NPI

City Reformation Inc

Doing business as City Reformation

  • Adult Care Home Facility
  • Houston, TX
National Provider Identifier
1134715279
Registry record updated Dec 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
CITY REFORMATION INC
Doing business as
City Reformation
Practice address
5429 Doulton Dr
Houston, TX 77033-2817
Phone
(281) 670-7213
NPI assigned
Dec 13, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2020

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

Authorized official

Name
Mrs. Kenya Shields, BA
Title
Manager
Phone
(281) 760-7204

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

5429 Doulton Dr
Houston, TX 77033-2817

Mailing address

5429 Doulton Dr
Houston, TX 77033-2817
Phone (281) 670-7213

Other names 1

  • City Reformation 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": "1607817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607817600000",
    "number": "1134715279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5429 DOULTON DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770332817",
            "telephone_number": "281-670-7213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5429 DOULTON DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770332817",
            "telephone_number": "281-670-7213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY REFORMATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-13",
        "last_updated": "2020-12-13",
        "certification_date": "2020-12-13",
        "status": "A",
        "authorized_official_last_name": "SHIELDS",
        "authorized_official_first_name": "KENYA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "281-760-7204",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City Reformation",
            "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 Dec 13, 2020; 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.