Organization Active NPI

Family Advocacy Case Management SVS

  • Case Management Agency
  • Houston, TX
National Provider Identifier
1255605465
Registry record updated Mar 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
29035 Issued in TX
Legal business name
FAMILY ADVOCACY CASE MANAGEMENT SVS
Practice address
3139 W Holcombe Blvd # 272
Houston, TX 77025-1505
Phone
(832) 633-3010
Fax
(800) 262-5172
NPI assigned
Mar 6, 2012
Last updated
Mar 6, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2012

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

Authorized official

Name
Jana Gaston-Coachman, LBSW
Title
Clinical Administrator
Phone
(832) 633-3010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 29035 TX Primary

Addresses

Primary practice location

3139 W Holcombe Blvd # 272
Houston, TX 77025-1505

Mailing address

3139 W Holcombe Blvd # 272
Houston, TX 77025-1505
Phone (832) 633-3010

Other identifiers 2

IdentifierTypeStateIssuer
251B00000XMedicaidTX
171M00000XMedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1330992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330992000000",
    "number": "1255605465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3139 W HOLCOMBE BLVD # 272",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770251505",
            "telephone_number": "832-633-3010",
            "fax_number": "800-262-5172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3139 W HOLCOMBE BLVD # 272",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770251505",
            "telephone_number": "832-633-3010",
            "fax_number": "800-262-5172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY ADVOCACY CASE MANAGEMENT SVS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-06",
        "last_updated": "2012-03-06",
        "status": "A",
        "authorized_official_last_name": "GASTON-COACHMAN",
        "authorized_official_first_name": "JANA",
        "authorized_official_title_or_position": "CLINICAL ADMINISTRATOR",
        "authorized_official_telephone_number": "832-633-3010",
        "authorized_official_credential": "LBSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "TX",
            "license": "29035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "251B00000X",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "171M00000X",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Mar 6, 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.