Organization Active NPI

Clift Home Care, LLC

  • In Home Supportive Care Agency
  • Houston, TX
National Provider Identifier
1316253156
Registry record updated Aug 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
CLIFT HOME CARE, LLC
Practice address
6302 Vista Camino Dr
Houston, TX 77083-1407
Phone
(832) 295-3444
Fax
(832) 288-2476
NPI assigned
Aug 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2010

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

Authorized official

Name
Dr. Ijang Irene Fomnukong, PHD
Title
Administrator
Phone
(832) 295-3444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

6302 Vista Camino Dr
Houston, TX 77083-1407

Mailing address

6302 Vista Camino Dr
Houston, TX 77083-1407
Phone (832) 295-3444

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1283126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283126400000",
    "number": "1316253156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6302 VISTA CAMINO DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770831407",
            "telephone_number": "832-295-3444",
            "fax_number": "832-288-2476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6302 VISTA CAMINO DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770831407",
            "telephone_number": "832-295-3444",
            "fax_number": "832-288-2476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLIFT HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-30",
        "last_updated": "2010-08-30",
        "status": "A",
        "authorized_official_last_name": "FOMNUKONG",
        "authorized_official_first_name": "IJANG",
        "authorized_official_middle_name": "IRENE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "832-295-3444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "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 Aug 30, 2010; 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.