Organization Active NPI

Brenda Dickens House of Peace

  • Assisted Living Facility (Mental Illness)
  • Missouri City, TX
National Provider Identifier
1174012900
Registry record updated May 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
Legal business name
BRENDA DICKENS HOUSE OF PEACE
Practice address
6619 Indian Falls Dr
Missouri City, TX 77489-2633
Phone
(281) 438-8166
Fax
(346) 888-5285
NPI assigned
May 7, 2018
Last updated
May 7, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2018

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

Authorized official

Name
Brenda DickensNPI 1124226923
Title
Owner
Phone
(281) 438-8166

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X NU Primary
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X NU

Addresses

Primary practice location

6619 Indian Falls Dr
Missouri City, TX 77489-2633

Mailing address

6619 Indian Falls Dr
Missouri City, TX 77489-2633
Phone (281) 438-8166

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1525651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525651200000",
    "number": "1174012900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6619 INDIAN FALLS DR",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774892633",
            "telephone_number": "281-438-8166",
            "fax_number": "346-888-5285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6619 INDIAN FALLS DR",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774892633",
            "telephone_number": "281-438-8166",
            "fax_number": "346-888-5285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENDA DICKENS HOUSE OF PEACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-07",
        "last_updated": "2018-05-07",
        "status": "A",
        "authorized_official_last_name": "DICKENS",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-438-8166"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missouri City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2018; 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.