Ngel

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

NGEL

Practice address

3939 US Highway 80 E
Ste 305
Mesquite, TX 75150-3359

Phone

(972) 698-0404

Fax

(972) 698-0844

NPI assigned

Mar 28, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Ngozi Azubike Tilley, QMHP

Title

Co-Owner

Phone

(972) 986-2470

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1364428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364428800000",
    "number": "1255674255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3939 US HIGHWAY 80 E",
            "address_2": "STE 305",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751503359",
            "telephone_number": "972-698-0404",
            "fax_number": "972-698-0844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 US HIGHWAY 80 E",
            "address_2": "STE 305",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751503359",
            "telephone_number": "972-698-0404",
            "fax_number": "972-698-0844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NGEL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-28",
        "last_updated": "2013-03-28",
        "status": "A",
        "authorized_official_last_name": "TILLEY",
        "authorized_official_first_name": "NGOZI",
        "authorized_official_middle_name": "AZUBIKE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "972-986-2470",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "QMHP"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Mesquite, TX
• Providers in Mesquite, TX by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2013; 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.