Organization Active NPI

Real Comfort Living LLC

  • Adult Mental Health Clinic/Center
  • Missouri City, TX
National Provider Identifier
1194261511
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
REAL COMFORT LIVING LLC
Practice address
17014 Quail Bend Dr
Missouri City, TX 77489-6158
Phone
(281) 300-8765
Fax
(281) 437-6622
NPI assigned
Jan 9, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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

Authorized official

Name
Christopher C EkwealorNPI 1821615659
Title
Administrator
Phone
(832) 850-8761

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary
Assisted Living Facility 310400000X
Assisted Living Facility (Mental Illness) 3104A0625X
Assisted Living Facility (Behavioral Disturbances) 3104A0630X

Addresses

Primary practice location

17014 Quail Bend Dr
Missouri City, TX 77489-6158

Mailing address

10103 Fondren Rd Ste 474
Houston, TX 77096-4671
Phone (832) 582-6111

National Provider Directory

National Provider Directory

Locations

10103 Fondren Rd
Ste 474
Houston, TX 77096
Phone (713) 777-8822

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1483920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734480000000",
    "number": "1194261511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10103 FONDREN RD STE 474",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770964671",
            "telephone_number": "832-582-6111",
            "fax_number": "832-582-5563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17014 QUAIL BEND DR",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774896158",
            "telephone_number": "281-300-8765",
            "fax_number": "281-437-6622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REAL COMFORT LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-09",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A",
        "authorized_official_last_name": "EKWEALOR",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "832-850-8761"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "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 Dec 18, 2024; 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.