Institute on Healthy Aging

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

INSTITUTE ON HEALTHY AGING

Practice address

9406 Fern Wood FRST
Houston, TX 77040-6892

Phone

(713) 291-1567

NPI assigned

Mar 17, 2019

Organization subpart

No

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

Authorized official

Name

Asheva Phillips

Title

Ceo

Phone

(713) 291-1567

Specialties & licenses 1

Addresses

Other names 1

• VaughnGage Holistic Adult Day Doing business as

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

{
    "created_epoch": "1552780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552780800000",
    "number": "1154880490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9406 FERN WOOD FRST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770406892",
            "telephone_number": "713-291-1567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9406 FERN WOOD FRST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770406892",
            "telephone_number": "713-291-1567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTITUTE ON HEALTHY AGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-17",
        "last_updated": "2019-03-17",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "ASHEVA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "713-291-1567"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VaughnGage Holistic Adult Day",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Multi-Specialty Clinic/Center in Houston, TX
• Providers in Houston, TX by specialty
• Multi-Specialty Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2019; 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.