Active NPI
Avondale Care Services
- Assisted Living Facility
- Hockley, TX
National Provider Identifier
1164822110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- AVONDALE CARE SERVICES
- Doing business as
- Avondale Care Services
- Practice address
- 31214 Roos River Dr
Hockley, TX 77447-2216 - Phone
- (832) 762-0418
- Fax
- (832) 653-7969
- NPI assigned
- Aug 27, 2014
- Last updated
- Aug 25, 2023
- 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
- Rochelle Wright-Williams, CASE MANAGER
- Title
- Owner/Program Manager
- Phone
- (832) 762-0418
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | NU | ||
| Preferred Provider Organization | 305R00000X | NU | ||
| Assisted Living Facility | 310400000X | TX | Primary | |
| Assisted Living Facility (Behavioral Disturbances) | 3104A0630X | TX |
Addresses
Primary practice location
31214 Roos River Dr
Hockley, TX 77447-2216
Mailing address
31214 Roos River Dr
Hockley, TX 77447-2216
Phone (832) 762-0418
Other names 1
- Avondale Care Services
National Provider Directory
National Provider DirectoryLocations
11611 W Airport Blvd
#H207
Meadows Place, TX 77477
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409097600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1692921600000",
"number": "1164822110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31214 ROOS RIVER DR",
"city": "HOCKLEY",
"state": "TX",
"postal_code": "774472216",
"telephone_number": "832-762-0418",
"fax_number": "832-653-7969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31214 ROOS RIVER DR",
"city": "HOCKLEY",
"state": "TX",
"postal_code": "774472216",
"telephone_number": "832-762-0418",
"fax_number": "832-653-7969"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AVONDALE CARE SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2014-08-27",
"last_updated": "2023-08-25",
"certification_date": "2023-08-25",
"status": "A",
"authorized_official_last_name": "WRIGHT-WILLIAMS",
"authorized_official_first_name": "ROCHELLE",
"authorized_official_title_or_position": "OWNER/PROGRAM MANAGER",
"authorized_official_telephone_number": "832-762-0418",
"authorized_official_credential": "CASE MANAGER"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "305R00000X",
"taxonomy_group": "",
"desc": "Preferred Provider Organization",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "TX",
"license": null,
"primary": true
},
{
"code": "3104A0630X",
"taxonomy_group": "",
"desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
"state": "TX",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Avondale Care Services",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Avondale Care Services",
"code": "3",
"type": "Doing Business As"
}
]
}
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- Deidrie Naomi Andrea Austin, M.ED, LPC
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- Gabri'Ella Breedlove, LCSW
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- C & L Dental PLLC (Vibrant Family Dentistry of Hockley)
- Stacey Cannonier
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.