Active NPI
Madie Enterprise Inc Dba Old Yale Adult Day Care
- Adult Day Care Clinic/Center
- Houston, TX
National Provider Identifier
1376712455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- Legal business name
- MADIE ENTERPRISE INC DBA OLD YALE ADULT DAY CARE
- Practice address
- 4414 Old Yale St
Houston, TX 77018-4506 - Phone
- (713) 695-6100
- Fax
- (713) 695-6349
- NPI assigned
- Feb 22, 2008
- Organization subpart
- Yes
- Parent organization
- MADIE ENTERPRISE INC DBA OLD YALE ADULT DAY CARE
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Johnny Gaylon Hollins
- Title
- Ceo
- Phone
- (713) 695-6100
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | |||
| Adult Day Care Clinic/Center | 261QA0600X | TX | Primary |
Addresses
Primary practice location
4414 Old Yale St
Houston, TX 77018-4506
Mailing address
4414 Old Yale St
Houston, TX 77018-4506
Phone (713) 695-6100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 125917 | Other | TX | TEXAS DEPARTMENT OF AGING AND DISABILITY SERVICES |
Other names 1
- Old Yale Adult Day Care
National Provider Directory
National Provider Directory- Part of
- Madie Enterprise Inc
Locations
4414 Old Yale St
Houston, TX 77018
Phone (713) 695-6100
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Houston, TX
- NPI 1538390885
-
- Counselor
- Houston, TX
- NPI 1205992013
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203638400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1376712455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4414 OLD YALE ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770184506",
"telephone_number": "713-695-6100",
"fax_number": "713-695-6349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4414 OLD YALE ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770184506",
"telephone_number": "713-695-6100",
"fax_number": "713-695-6349"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MADIE ENTERPRISE INC DBA OLD YALE ADULT DAY CARE",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MADIE ENTERPRISE INC DBA OLD YALE ADULT DAY CARE",
"enumeration_date": "2008-02-22",
"last_updated": "2022-07-21",
"certification_date": "2020-12-21",
"status": "A",
"authorized_official_last_name": "HOLLINS",
"authorized_official_first_name": "JOHNNY",
"authorized_official_middle_name": "GAYLON",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "713-695-6100",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS DEPARTMENT OF AGING AND DISABILITY SERVICES",
"identifier": "125917",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Old Yale Adult Day Care",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.