Ta Health Care Inc.

Primary specialty

Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X

License

712737 Issued in TX

Legal business name

TA HEALTH CARE INC.

Practice address

2705 Greenblade CT
Pearland, TX 77584-3431

Phone

(713) 208-0347

Fax

(713) 436-4621

NPI assigned

Apr 14, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Damon Terrell Smith, R.N.

Title

Director

Phone

(713) 208-0347

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1365897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365897600000",
    "number": "1336582980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2705 GREENBLADE CT",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775843431",
            "telephone_number": "713-208-0347",
            "fax_number": "713-436-4621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2705 GREENBLADE CT",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775843431",
            "telephone_number": "713-208-0347",
            "fax_number": "713-436-4621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TA HEALTH CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-14",
        "last_updated": "2013-04-14",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DAMON",
        "authorized_official_middle_name": "TERRELL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "713-208-0347",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "712737",
            "primary": false
        },
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": "TX",
            "license": "712737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility (Behavioral Disturbances) in Pearland, TX
• Providers in Pearland, TX by specialty
• Assisted Living Facility (Behavioral Disturbances) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2013; 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.