Organization Active NPI

Jlegend Health Care Center, LLC

  • Case Manager/Care Coordinator
  • Houston, TX
National Provider Identifier
1366952061
Registry record updated Oct 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
JLEGEND HEALTH CARE CENTER, LLC
Practice address
9903 S Dairy Ashford Rd Apt 4102
Houston, TX 77099-2330
Phone
(713) 548-7073
NPI assigned
Oct 7, 2017
Last updated
Oct 7, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2017

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

Authorized official

Name
Mr. Sabur Olajide Showunmi
Title
Ceo
Phone
(713) 548-7073

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X NU
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X NU
Case Manager/Care Coordinator 171M00000X NU Primary

Addresses

Primary practice location

9903 S Dairy Ashford Rd Apt 4102
Houston, TX 77099-2330

Mailing address

9903 S Dairy Ashford Rd Apt 4102
Houston, TX 77099-2330
Phone (713) 548-7073

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1507334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507334400000",
    "number": "1366952061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9903 S DAIRY ASHFORD RD APT 4102",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770992330",
            "telephone_number": "713-548-7073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9903 S DAIRY ASHFORD RD APT 4102",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770992330",
            "telephone_number": "713-548-7073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JLEGEND HEALTH CARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-07",
        "last_updated": "2017-10-07",
        "status": "A",
        "authorized_official_last_name": "SHOWUNMI",
        "authorized_official_first_name": "SABUR",
        "authorized_official_middle_name": "OLAJIDE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "713-548-7073",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "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 Oct 7, 2017; 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.