Organization Active NPI

Family Alliance Network LLC

  • Respite Care
  • Houston, TX
National Provider Identifier
1356964548
Registry record updated May 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
Legal business name
FAMILY ALLIANCE NETWORK LLC
Practice address
5206 Cypress Creek Pkwy Ste 104
Houston, TX 77069-4405
Phone
(832) 446-3221
Fax
(832) 666-2975
NPI assigned
May 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2020

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

Authorized official

Name
Sabrina A Mack
Title
Executive Director
Phone
(832) 446-3221

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X Primary
Respite Care Camp 385HR2050X
Child Mental Illness Respite Care 385HR2055X
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X

Addresses

Primary practice location

5206 Cypress Creek Pkwy Ste 104
Houston, TX 77069-4405

Mailing address

5206 Cypress Creek Pkwy Ste 104
Houston, TX 77069-4405
Phone (832) 446-3221

Other practice location 1

2500 Wilcrest Dr Ste 323
Houston, TX 77042-2752
Phone (832) 446-3221

Other identifiers 1

IdentifierTypeStateIssuer
376635401MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address records@familyalliancenetwork.org Direct

National Provider Directory

National Provider Directory
Tax ID family
Family Alliance Network LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5206 FM 1960 Rd W
Ste 104
Houston, TX 77069
Phone (281) 587-2316

2500 Wilcrest Dr
Ste 323
Houston, TX 77042
Phone (832) 446-3221

NPI Registry JSON

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

{
    "created_epoch": "1590019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590019200000",
    "number": "1356964548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5206 CYPRESS CREEK PKWY STE 104",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770694405",
            "telephone_number": "832-446-3221",
            "fax_number": "832-666-2975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5206 CYPRESS CREEK PKWY STE 104",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770694405",
            "telephone_number": "832-446-3221",
            "fax_number": "832-666-2975"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 Wilcrest Dr Ste 323",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770422752",
            "country_code": "US",
            "telephone_number": "832-446-3221",
            "fax_number": "832-666-2975",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FAMILY ALLIANCE NETWORK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-21",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A",
        "authorized_official_last_name": "MACK",
        "authorized_official_first_name": "SABRINA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "832-446-3221"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385HR2050X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care Camp",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2055X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Mental Illness, Child",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "376635401",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "records@familyalliancenetwork.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5206 Cypress Creek Pkwy Ste 104",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770694405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 May 21, 2020; 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.