Organization Active NPI

PCDG Enterprises LLC

  • Home Health Agency
  • Friendswood, TX
National Provider Identifier
1306138771
Registry record updated Nov 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
014278 Issued in TX
Legal business name
PCDG ENTERPRISES LLC
Practice address
150 W Shadowbend Ave
Suite 400
Friendswood, TX 77546-3968
Phone
(281) 606-4335
Fax
(281) 606-4337
NPI assigned
May 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2012

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

Authorized official

Name
Mrs. Katherine Lindsey Ross, RN, MBA
Title
President
Phone
(281) 606-4335

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 014278 TX Primary

Addresses

Primary practice location

150 W Shadowbend Ave
Suite 400
Friendswood, TX 77546-3968

Mailing address

150 W Shadowbend Ave
Suite 400
Friendswood, TX 77546-3968
Phone (281) 606-4335

Other identifiers 1

IdentifierTypeStateIssuer
014278OtherTXDADS TEXAS

Other names 1

  • BrightStar of Friendswood Doing business as

National Provider Directory

National Provider Directory

Locations

150 W Shadowbend Ave
Ste 400
Friendswood, TX 77546
Phone (281) 606-4335

NPI Registry JSON

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

{
    "created_epoch": "1304467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353024000000",
    "number": "1306138771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 W SHADOWBEND AVE",
            "address_2": "SUITE 400",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775463968",
            "telephone_number": "281-606-4335",
            "fax_number": "281-606-4337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 W SHADOWBEND AVE",
            "address_2": "SUITE 400",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775463968",
            "telephone_number": "281-606-4335",
            "fax_number": "281-606-4337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PCDG ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-04",
        "last_updated": "2012-11-16",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "LINDSEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-606-4335",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, MBA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "014278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DADS TEXAS",
            "identifier": "014278",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BrightStar of Friendswood",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Friendswood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2012; 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.