Stonebridge Structured Independent Living, Inc

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

STONEBRIDGE STRUCTURED INDEPENDENT LIVING, INC

Practice address

5303 Pebble Springs Dr
Houston, TX 77066-2542

Phone

(832) 326-5000

Fax

(888) 315-2272

NPI assigned

Nov 8, 2007

Organization subpart

No

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

Authorized official

Name

Rebeccah Walker

Title

Director

Phone

(832) 326-5000

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

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

• Clotie Wayland, LCSW

  • Clinical Social Worker
  • Houston, TX
  • NPI 1174702302
  Medicare reassignment NPD

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487030400000",
    "number": "1205016128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 692368",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772692368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5303 PEBBLE SPRINGS DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770662542",
            "telephone_number": "832-326-5000",
            "fax_number": "888-315-2272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONEBRIDGE STRUCTURED INDEPENDENT LIVING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-08",
        "last_updated": "2017-02-14",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "REBECCAH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "832-326-5000"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan M Stone, NP
• Suzette R. Stone, PNP
• Tyler Stone
• Stonebridge Foundation, Inc
• Stonebridge Living, Inc
• Stoneoak Behavioral Health LLC
• Jaquita Stoner, RDN, LDN
• Jane Allen Stones, M.D.
• Stonewheel Solutions, L.P.
• Stoneybrook Healthcare Center LLC

• Adult Care Home Facility in Houston, TX
• Providers in Houston, TX by specialty
• Adult Care Home Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.