Organization Active NPI

Star of the East Healthcare

  • Assisted Living Facility (Mental Illness)
  • Cypress, TX
National Provider Identifier
1366879777
Registry record updated Sep 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
Legal business name
STAR OF THE EAST HEALTHCARE
Practice address
15519 Hazel Thicket TRL
Cypress, TX 77429-4304
Phone
(281) 460-0039
NPI assigned
Sep 30, 2013
Last updated
Sep 30, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2013

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

Authorized official

Name
Shervondalyn Thaxton
Title
Administrator
Phone
(281) 460-0039

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X Primary

Addresses

Primary practice location

15519 Hazel Thicket TRL
Cypress, TX 77429-4304

Mailing address

15519 Hazel Thicket TRL
Cypress, TX 77429-4304
Phone (281) 460-0039

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1380499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380499200000",
    "number": "1366879777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15519 HAZEL THICKET TRL",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774294304",
            "telephone_number": "281-460-0039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15519 HAZEL THICKET TRL",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774294304",
            "telephone_number": "281-460-0039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR OF THE EAST HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-30",
        "last_updated": "2013-09-30",
        "status": "A",
        "authorized_official_last_name": "THAXTON",
        "authorized_official_first_name": "SHERVONDALYN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "281-460-0039"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.