Organization Active NPI

Senior Citizens Bureau

Doing business as VaughnGage Healthy Aging Center

  • Custodial Care Facility
  • Houston, TX
National Provider Identifier
1295106649
Registry record updated Apr 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Custodial Care FacilityTaxonomy code 311Z00000X
License
143030 Issued in TX
Legal business name
SENIOR CITIZENS BUREAU
Doing business as
VaughnGage Healthy Aging Center
Practice address
9406 Fern Wood FRST
Houston, TX 77040-6892
Phone
(713) 291-1567
NPI assigned
Oct 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2016

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

Authorized official

Name
Asheva Phillips
Title
Ceo
Phone
(832) 478-9333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Custodial Care Facility 311Z00000X 143030 TX Primary

Addresses

Primary practice location

9406 Fern Wood FRST
Houston, TX 77040-6892

Mailing address

9406 Fern Wood FRST
Houston, TX 77040-6892
Phone (713) 291-1567

Other identifiers 1

IdentifierTypeStateIssuer
143030OtherTXDADS LICENSE

Other names 1

  • VaughnGage Healthy Aging Center 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": "1444608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460505600000",
    "number": "1295106649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9406 FERN WOOD FRST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770406892",
            "telephone_number": "713-291-1567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9406 FERN WOOD FRST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770406892",
            "telephone_number": "713-291-1567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR CITIZENS BUREAU",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-12",
        "last_updated": "2016-04-13",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "ASHEVA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "832-478-9333"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "TX",
            "license": "143030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DADS LICENSE",
            "identifier": "143030",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VaughnGage Healthy Aging Center",
            "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 Apr 13, 2016; 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.