Organization Active NPI

Tangela Edwards

  • Intellectual Disabilities Intermediate Care Facility
  • Houston, TX
National Provider Identifier
1285837864
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
TANGELA EDWARDS
Practice address
12655 Kuykendahl Rd Apt 2205
Houston, TX 77090-6933
Phone
(281) 226-3784
NPI assigned
Jun 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Tangela Richelle Edwards
Title
Ceo
Phone
(281) 226-3784

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X TX Primary

Addresses

Primary practice location

12655 Kuykendahl Rd Apt 2205
Houston, TX 77090-6933

Mailing address

12655 Kuykendahl Rd Apt 2205
Houston, TX 77090-6933
Phone (281) 226-3784

Other names 1

  • CREATIVE ANGELS Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285837864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12655 KUYKENDAHL RD APT 2205",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770906933",
            "telephone_number": "281-226-3784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12655 KUYKENDAHL RD APT 2205",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770906933",
            "telephone_number": "281-226-3784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANGELA EDWARDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "TANGELA",
        "authorized_official_middle_name": "RICHELLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "281-226-3784"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CREATIVE ANGELS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2020; 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.