A a Matthsarah LLC

Primary specialty

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

Legal business name

A A MATTHSARAH LLC

Practice address

6514 Dogwood Park CT
Katy, TX 77449-6755

Phone

(713) 834-7762

NPI assigned

Mar 16, 2021

Last updated

Mar 16, 2021By 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

Oluwarotimi Adeyeri

Title

C.E.O

Phone

(713) 834-7762

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1615852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615852800000",
    "number": "1306421847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6514 DOGWOOD PARK CT",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774496755",
            "telephone_number": "713-834-7762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6514 DOGWOOD PARK CT",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774496755",
            "telephone_number": "713-834-7762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A A MATTHSARAH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-16",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A",
        "authorized_official_last_name": "ADEYERI",
        "authorized_official_first_name": "OLUWAROTIMI",
        "authorized_official_title_or_position": "C.E.O",
        "authorized_official_telephone_number": "713-834-7762"
    },
    "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": []
}

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• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Katy, TX
• Providers in Katy, 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 Mar 16, 2021; 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.