Organization Active NPI

Bountiful Living Residential Care Inc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Richmond, TX
National Provider Identifier
1295061174
Registry record updated Jul 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
BOUNTIFUL LIVING RESIDENTIAL CARE INC
Practice address
7010 Desert Bluff LN
Richmond, TX 77407-3824
Phone
(281) 250-7207
Fax
(281) 232-2169
NPI assigned
Oct 27, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2019

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

Authorized official

Name
Ms. Liza Ava FosterNPI 1659556975
Title
President
Phone
(281) 250-7207

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193400000X SINGLE SPECIALTY GROUP 171M00000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

7010 Desert Bluff LN
Richmond, TX 77407-3824

Mailing address

7010 Desert Bluff LN
Richmond, TX 77407-3824
Phone (281) 250-7207

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1256601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563321600000",
    "number": "1295061174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7010 DESERT BLUFF LN",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774073824",
            "telephone_number": "281-250-7207",
            "fax_number": "281-232-2169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7010 DESERT BLUFF LN",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774073824",
            "telephone_number": "281-250-7207",
            "fax_number": "281-232-2169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOUNTIFUL LIVING RESIDENTIAL CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-27",
        "last_updated": "2019-07-17",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "LIZA",
        "authorized_official_middle_name": "AVA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-250-7207",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "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": []
}

Other providers in Richmond, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2019; 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.