Compassion Structured Living Center LLC

Primary specialty

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

Legal business name

COMPASSION STRUCTURED LIVING CENTER LLC

Practice address

13578 San Martin LN
Houston, TX 77083-5135

Phone

(346) 803-9647

Fax

(832) 230-3267

NPI assigned

Sep 13, 2020

Last updated

Mar 3, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Eileen E Ogbonnaya

Title

Program Director

Phone

(346) 803-9647

Specialties & licenses 1

Addresses

Other names 1

• compassion structured living center llc Former legal business name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Eileen Manjor

  • Community/Behavioral Health Agency
  • Houston, TX
  • NPI 1770760373
  NPD

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

{
    "created_epoch": "1599955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614729600000",
    "number": "1265047534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13578 SAN MARTIN LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770835135",
            "telephone_number": "346-803-9647",
            "fax_number": "832-230-3267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13578 SAN MARTIN LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770835135",
            "telephone_number": "346-803-9647",
            "fax_number": "832-230-3267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASSION STRUCTURED LIVING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-13",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A",
        "authorized_official_last_name": "OGBONNAYA",
        "authorized_official_first_name": "EILEEN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "346-803-9647",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "compassion structured living center llc",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "compassion structured living center llc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Houston, TX
• Providers in Houston, TX by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.

Verify at the official NPI Registry.