Active NPI
Senior Citizens Bureau
Doing business as VaughnGage Healthy Aging Center
- Custodial Care Facility
- Houston, TX
National Provider Identifier
1295106649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Custodial Care Facility
- License
- 143030
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 143030 | Other | TX | DADS LICENSE |
Other names 1
- VaughnGage Healthy Aging Center
National Provider Directory
National Provider DirectoryNPI 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.