Organization Active NPI

Advanced Life Wellness Institute

  • Health Maintenance Organization
  • Houston, TX
National Provider Identifier
1215273255
Registry record updated Dec 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
G7070 Issued in TX
Legal business name
ADVANCED LIFE WELLNESS INSTITUTE
Practice address
1917 Ashland St Ste 2888
Houston, TX 77008-3907
Phone
(713) 802-2883
Fax
(186) 676-0055
NPI assigned
Dec 19, 2012
Last updated
Dec 19, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2012

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

Authorized official

Name
Michelle Luong
Title
Director
Phone
(713) 802-2883

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X F9771 TX
Health Maintenance Organization 302R00000X G7070 TX Primary

Addresses

Primary practice location

1917 Ashland St Ste 2888
Houston, TX 77008-3907

Mailing address

1917 Ashland St Ste 2888
Houston, TX 77008-3907
Phone (713) 802-2883

Other names 1

  • ALWII Other name

National Provider Directory

National Provider Directory
Tax ID family
Advanced Life Wellness Institute2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1917 Ashland St
Ste 2888
Houston, TX 77008
Phone (713) 802-2883

NPI Registry JSON

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

{
    "created_epoch": "1355875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355875200000",
    "number": "1215273255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1917 ASHLAND ST STE 2888",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770083907",
            "telephone_number": "713-802-2883",
            "fax_number": "186-676-0055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1917 ASHLAND ST STE 2888",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770083907",
            "telephone_number": "713-802-2883",
            "fax_number": "186-676-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED LIFE WELLNESS INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-19",
        "last_updated": "2012-12-19",
        "status": "A",
        "authorized_official_last_name": "LUONG",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "713-802-2883"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "TX",
            "license": "F9771",
            "primary": false
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "TX",
            "license": "G7070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALWII",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Dec 19, 2012; 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.