Organization Active NPI

Madie Enterprise Inc Dba Old Yale Adult Day Care

  • Adult Day Care Clinic/Center
  • Houston, TX
National Provider Identifier
1376712455
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
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 CAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
125917OtherTXTEXAS DEPARTMENT OF AGING AND DISABILITY SERVICES

Other names 1

  • Old Yale Adult Day Care Doing business as

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.

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.

Verify at the official NPI Registry.