Organization Active NPI

Heavenly Manor I

  • Assisted Living Facility
  • Houston, TX
National Provider Identifier
1316219918
Registry record updated Jan 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
HEAVENLY MANOR I
Practice address
12511 Donegal Way
Houston, TX 77047-2809
Phone
(713) 359-8273
NPI assigned
Jan 30, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2012

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

Authorized official

Name
Mia Singleton
Title
Health Care Services Administrator
Phone
(713) 359-8273

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

12511 Donegal Way
Houston, TX 77047-2809

Mailing address

14463 Benningcrest LN
Houston, TX 77047-7527
Phone (713) 359-8273

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1327881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327881600000",
    "number": "1316219918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14463 BENNINGCREST LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770477527",
            "telephone_number": "713-359-8273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12511 DONEGAL WAY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770472809",
            "telephone_number": "713-359-8273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENLY MANOR I",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-30",
        "last_updated": "2012-01-30",
        "status": "A",
        "authorized_official_last_name": "SINGLETON",
        "authorized_official_first_name": "MIA",
        "authorized_official_title_or_position": "HEALTH CARE SERVICES ADMINISTRATOR",
        "authorized_official_telephone_number": "713-359-8273"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 30, 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.