Organization Active NPI

Coordinating Care Center

  • In Home Supportive Care Agency
  • Humble, TX
National Provider Identifier
1144697681
Registry record updated Sep 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
COORDINATING CARE CENTER
Practice address
9816 Memorial Blvd Ste 105
Humble, TX 77338-4205
Phone
(281) 446-0061
NPI assigned
Sep 1, 2015
Last updated
Sep 1, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
DEERBROOK PHARMACY SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 1, 2015

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

Authorized official

Name
Glendadale Adams
Title
Operations Manager
Phone
(281) 446-0061

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X TX Primary

Addresses

Primary practice location

9816 Memorial Blvd Ste 105
Humble, TX 77338-4205

Mailing address

9816 Memorial Blvd Ste 105
Humble, TX 77338-4205
Phone (281) 446-0061

Other identifiers 1

IdentifierTypeStateIssuer
146076MedicaidTX

National Provider Directory

National Provider Directory
Part of
Mobile Health Check

NPI Registry JSON

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

{
    "created_epoch": "1441065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441065600000",
    "number": "1144697681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9816 MEMORIAL BLVD STE 105",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773384205",
            "telephone_number": "281-446-0061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9816 MEMORIAL BLVD STE 105",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773384205",
            "telephone_number": "281-446-0061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COORDINATING CARE CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DEERBROOK PHARMACY SERVICES",
        "enumeration_date": "2015-09-01",
        "last_updated": "2015-09-01",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "GLENDADALE",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "281-446-0061"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146076",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Humble, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2015; 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.