The Detiveaux Corporation

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

THE DETIVEAUX CORPORATION

Practice address

431 Nursery Rd Ste A400
Spring, TX 77380-1986

Phone

(832) 280-6245

NPI assigned

Jan 25, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Griswold Homecare of North Houston

Title

Owner / Director

Phone

(713) 859-1098

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Griswold Homecare of North Houston Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1643068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643155200000",
    "number": "1164174652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 NURSERY RD STE A400",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773801986",
            "telephone_number": "832-280-6245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 NURSERY RD STE A400",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773801986",
            "telephone_number": "832-280-6245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DETIVEAUX CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-25",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A",
        "authorized_official_last_name": "HOUSTON",
        "authorized_official_first_name": "GRISWOLD HOMECARE OF",
        "authorized_official_middle_name": "NORTH",
        "authorized_official_title_or_position": "OWNER / DIRECTOR",
        "authorized_official_telephone_number": "713-859-1098",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX HEALTH & HUMAN SERVICES - PAS SERVICES",
            "identifier": "020273",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "NA",
            "affiliation": "N",
            "endpointDescription": "NA",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "431 Nursery Rd Ste A400",
            "city": "Spring",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773801986",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Griswold Homecare of North Houston",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Griswold Homecare of North Houston",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; 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.