Active NPI
AIDS Foundation Houston, Inc.
- Voluntary or Charitable Agency
- Houston, TX
National Provider Identifier
1265090880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Voluntary or Charitable Agency
- Legal business name
- AIDS FOUNDATION HOUSTON, INC.
- Practice address
- 6260 Westpark Dr Ste 100
Houston, TX 77057-7353 - Phone
- (713) 623-6796
- Fax
- (713) 623-4029
- NPI assigned
- May 29, 2019
- 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
- Mr. John Bertin Huckaby Jr.
- Title
- Chief Executive Officer
- Phone
- (713) 623-6796
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| Community/Behavioral Health Agency | 251S00000X | |||
| Voluntary or Charitable Agency | 251V00000X | Primary | ||
| Community Health Clinic/Center | 261QC1500X |
Addresses
Primary practice location
6260 Westpark Dr Ste 100
Houston, TX 77057-7353
Mailing address
6260 Westpark Dr Ste 100
Houston, TX 77057-7353
Phone (713) 623-6796
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D1065792 | AIDS Foundation Houston, Inc | Certificate of waiver | Mar 7, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- AIDS Foundation Houston Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Houston, TX
- NPI 1457279168
Locations
6260 Westpark Dr
Ste 100
Houston, TX 77057
Phone (713) 339-2684
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559088000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1560211200000",
"number": "1265090880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6260 WESTPARK DR STE 100",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770577353",
"telephone_number": "713-623-6796",
"fax_number": "713-623-4029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6260 WESTPARK DR STE 100",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770577353",
"telephone_number": "713-623-6796",
"fax_number": "713-623-4029"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AIDS FOUNDATION HOUSTON, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2019-05-29",
"last_updated": "2019-06-11",
"status": "A",
"authorized_official_last_name": "HUCKABY",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "BERTIN",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "713-623-6796",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251V00000X",
"taxonomy_group": "",
"desc": "Voluntary or Charitable",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QC1500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Community Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"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 Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.