Active NPI
Marisa Deaun Thompson
- Home Health Agency
- Kingwood, TX
National Provider Identifier
1225751662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Practice address
- 1525 Lakeville Dr Ste 125
Kingwood, TX 77339-2069 - Phone
- (713) 208-5509
- NPI assigned
- Sep 21, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
1525 Lakeville Dr Ste 125
Kingwood, TX 77339-2069
Mailing address
1525 Lakeville Dr Ste 125
Kingwood, TX 77339-2069
Phone (713) 208-5509
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MLT Ventures, Inc. | Home Health | Current | Accepting new patients |
Locations
1525 Lakeville Dr
Ste 125
Kingwood, TX 77339
Phone (713) 208-5509
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677196800000",
"number": "1225751662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1525 LAKEVILLE DR STE 125",
"city": "KINGWOOD",
"state": "TX",
"postal_code": "773392069",
"telephone_number": "713-208-5509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1525 LAKEVILLE DR STE 125",
"city": "KINGWOOD",
"state": "TX",
"postal_code": "773392069",
"telephone_number": "713-208-5509"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "MARISA",
"middle_name": "DEAUN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-09-21",
"last_updated": "2023-02-24",
"certification_date": "2023-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kingwood, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.