Organization Active NPI

CHC Highland Village, LLC

Doing business as Connected Health Centers

  • Clinic/Center
  • Highland Village, TX
National Provider Identifier
1295211506
Registry record updated Aug 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
CHC HIGHLAND VILLAGE, LLC
Doing business as
Connected Health Centers
Practice address
2150 Justin Rd Ste 100
Highland Village, TX 75077-7126
Phone
(469) 312-3317
Fax
(469) 312-3318
NPI assigned
Jul 19, 2018
Last updated
Aug 17, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2020

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

Authorized official

Name
Jeff Alexander
Title
Manager
Phone
(719) 964-3284

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

2150 Justin Rd Ste 100
Highland Village, TX 75077-7126

Mailing address

2150 Justin Rd Ste 100
Highland Village, TX 75077-7126
Phone (469) 312-3317

Other identifiers 1

IdentifierTypeStateIssuer
13510OtherTXLICENSE

Other names 1

  • Connected Health Centers 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": "1531958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597622400000",
    "number": "1295211506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 JUSTIN RD STE 100",
            "city": "HIGHLAND VILLAGE",
            "state": "TX",
            "postal_code": "750777126",
            "telephone_number": "469-312-3317",
            "fax_number": "469-312-3318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 JUSTIN RD STE 100",
            "city": "HIGHLAND VILLAGE",
            "state": "TX",
            "postal_code": "750777126",
            "telephone_number": "469-312-3317",
            "fax_number": "469-312-3318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHC HIGHLAND VILLAGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-19",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "719-964-3284"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "13510",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Connected Health Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Highland Village, TX

Sources for this page

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