Organization Active NPI

Knotts Landing

  • Adult Care Home Facility
  • Houston, TX
National Provider Identifier
1326397126
Registry record updated Sep 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
KNOTTS LANDING
Practice address
6606 Lockwood Dr
Houston, TX 77028-4165
Phone
(281) 458-7277
NPI assigned
Sep 7, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2012

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

Authorized official

Name
Mrs. Ronalda Marie Stelly, LVN
Title
Manager/Owner
Phone
(281) 458-7277

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

6606 Lockwood Dr
Houston, TX 77028-4165

Mailing address

6606 Lockwood Dr
Houston, TX 77028-4165
Phone (281) 458-7277

Other identifiers 1

IdentifierTypeStateIssuer
1174704811MedicaidTX

Other names 1

  • NONE Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1346976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346976000000",
    "number": "1326397126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6606 LOCKWOOD DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770284165",
            "telephone_number": "281-458-7277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6606 LOCKWOOD DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770284165",
            "telephone_number": "281-458-7277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNOTTS LANDING",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-07",
        "last_updated": "2012-09-07",
        "status": "A",
        "authorized_official_last_name": "STELLY",
        "authorized_official_first_name": "RONALDA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "281-458-7277",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LVN"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1174704811",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NONE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Sep 7, 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.