Three 60 Degree Entities LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

THREE 60 DEGREE ENTITIES LLC

Doing business as

Pearl's Heart

Practice address

35 Santa Barbara Dr
Manvel, TX 77578

Phone

(832) 588-5467

NPI assigned

Jun 27, 2018

Last updated

Jun 27, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Reginald JacksonNPI 1396236410

Title

Managing Member

Phone

(832) 588-5467

Specialties & licenses 1

Addresses

Other names 1

• Pearl's Heart Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Reginald Courtney Jackson

  • Case Manager/Care Coordinator
  • Houston, TX
  • NPI 1396236410
  Authorized official Same address or phone

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

{
    "created_epoch": "1530057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530057600000",
    "number": "1306331863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 WAUGH DR # 834",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770193908",
            "telephone_number": "832-588-5467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 SANTA BARBARA DR",
            "city": "MANVEL",
            "state": "TX",
            "postal_code": "77578",
            "telephone_number": "832-588-5467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE 60 DEGREE ENTITIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-27",
        "last_updated": "2018-06-27",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "REGINALD",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "832-588-5467",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "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": [
        {
            "organization_name": "Pearl's Heart",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Texas Superior Home Health Care Services, LLC
• The Cam-O Center PLLC (Cam-O Center)
• The Family Practice Clinic of Manvel
• Shaunice Thomas, PHLEBOTOMIST
• Swapna Mary Thomas
• Maceline Timoh, NP
• Brittney Michelle Townsend
• Ashley Le Tran, PHARM D
• Trusted Medi Services LLC
• Jermaine Tucker

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Manvel, TX
• Providers in Manvel, TX by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2018; 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.