Organization Active NPI

Valerie M Jackson Enterprises LLC

  • Assisted Living Facility
  • Houston, TX
National Provider Identifier
1205014008
Registry record updated Feb 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
VALERIE M JACKSON ENTERPRISES LLC
Doing business as
Heavenly Hearts
Practice address
14811 West Rd Apt 3103
Houston, TX 77095-3174
Phone
(281) 463-2054
NPI assigned
Feb 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2008

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

Authorized official

Name
Mrs. Valerie M Jackson, NURSE AIDE REGISTRY
Title
Owner
Phone
(713) 775-0049

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X TX Primary

Addresses

Primary practice location

14811 West Rd Apt 3103
Houston, TX 77095-3174

Mailing address

14811 West Rd Apt 3103
Houston, TX 77095-3174
Phone (281) 463-2054

Other names 1

  • Heavenly Hearts Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202256000000",
    "number": "1205014008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14811 WEST RD APT 3103",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770953174",
            "telephone_number": "281-463-2054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14811 WEST RD APT 3103",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770953174",
            "telephone_number": "281-463-2054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALERIE M JACKSON ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-04",
        "last_updated": "2008-02-06",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-775-0049",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NURSE AIDE REGISTRY"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heavenly Hearts",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 6, 2008; 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.