Active NPI
Extended Senior Care and Services
- Assisted Living Facility
- Conroe, TX
National Provider Identifier
1245804954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- EXTENDED SENIOR CARE AND SERVICES
- Practice address
- 101 S Woodsway St W
Conroe, TX 77301-1390 - Phone
- (832) 933-3444
- NPI assigned
- May 17, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Iaza Usman, DO
- Title
- Director
- Phone
- (832) 933-3444
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
101 S Woodsway St W
Conroe, TX 77301-1390
Mailing address
101 S Woodsway St W
Conroe, TX 77301-1390
Phone (832) 933-3444
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621209600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1621209600000",
"number": "1245804954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 S WOODSWAY ST W",
"city": "CONROE",
"state": "TX",
"postal_code": "773011390",
"telephone_number": "832-933-3444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 S WOODSWAY ST W",
"city": "CONROE",
"state": "TX",
"postal_code": "773011390",
"telephone_number": "832-933-3444"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EXTENDED SENIOR CARE AND SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2021-05-17",
"last_updated": "2021-05-17",
"certification_date": "2021-05-17",
"status": "A",
"authorized_official_last_name": "USMAN",
"authorized_official_first_name": "IAZA",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "832-933-3444",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Conroe, TX
- Everett Place Assisted Living LLC
- Everything for Our Family Foundation
- Everything for Our Family, PLLC
- Everything Signature
- Exalt Health Rehabilitation Hospital Conroe, LLC (Exalt Health Rehabilitation Hospital Conroe)
- Extreme EMS, Inc.
- Eye Concepts- Conroe LLC
- Eyemart Express LLC
- Eyemasters of Texas LTD (EyeMasters)
- Eyesavy, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.