Organization Active NPI

LJM Adult Day Care Facility

  • Home Health Agency
  • Houston, TX
National Provider Identifier
1174804637
Registry record updated Aug 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LJM ADULT DAY CARE FACILITY
Practice address
9896 Bissonnet St Ste 350
Houston, TX 77036-8164
Phone
(832) 418-2978
NPI assigned
Aug 29, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2011

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

Authorized official

Name
Mrs. Floridasteane Ivory
Title
Ceo/President
Phone
(832) 418-2978

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NONE TX
Home Health Agency 251E00000X Primary
Bus 347B00000X

Addresses

Primary practice location

9896 Bissonnet St Ste 350
Houston, TX 77036-8164

Mailing address

9896 Bissonnet St Ste 350
Houston, TX 77036-8164
Phone (832) 418-2978

Other identifiers 1

IdentifierTypeStateIssuer
5467843MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1314576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314576000000",
    "number": "1174804637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9896 BISSONNET ST STE 350",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770368164",
            "telephone_number": "832-418-2978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9896 BISSONNET ST STE 350",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770368164",
            "telephone_number": "832-418-2978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LJM ADULT DAY CARE FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-29",
        "last_updated": "2011-08-29",
        "status": "A",
        "authorized_official_last_name": "IVORY",
        "authorized_official_first_name": "FLORIDASTEANE",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "832-418-2978",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "TX",
            "license": "NONE",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "347B00000X",
            "taxonomy_group": "",
            "desc": "Bus",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5467843",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2011; 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.