NPIMap

Organization Active NPI

Sr Golden Heart Provider Care and Transportation Services, LLC

  • Child Intellectual and/or Developmental Disabilities Respite Care
  • Houston, TX
National Provider Identifier
1396023784
Registry record updated Aug 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X
Legal business name
SR GOLDEN HEART PROVIDER CARE AND TRANSPORTATION SERVICES, LLC
Practice address
7100 Regency Square Blvd
Suite 203-5
Houston, TX 77036-3202
Phone
(713) 784-2480
Fax
(713) 784-2860
NPI assigned
Aug 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2011

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

Authorized official

Name
Mr. Jevao Fayia Saffa
Title
Program Manager
Phone
(713) 784-2480

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X Primary

Addresses

Primary practice location

7100 Regency Square Blvd
Suite 203-5
Houston, TX 77036-3202

Mailing address

7100 Regency Square Blvd
Suite 203-5
Houston, TX 77036-3202
Phone (713) 784-2480

National Provider Directory

National Provider Directory
Tax ID family
Sr Golden Heart Provider Care and Transportation Services LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

7100 Regency Square Blvd
Ste 2035
Houston, TX 77036
Phone (713) 784-2480

NPI Registry JSON

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

{
    "created_epoch": "1312243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312243200000",
    "number": "1396023784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 REGENCY SQUARE BLVD",
            "address_2": "SUITE 203-5",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770363202",
            "telephone_number": "713-784-2480",
            "fax_number": "713-784-2860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 REGENCY SQUARE BLVD",
            "address_2": "SUITE 203-5",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770363202",
            "telephone_number": "713-784-2480",
            "fax_number": "713-784-2860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SR GOLDEN HEART PROVIDER CARE AND TRANSPORTATION SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-02",
        "last_updated": "2011-08-02",
        "status": "A",
        "authorized_official_last_name": "SAFFA",
        "authorized_official_first_name": "JEVAO",
        "authorized_official_middle_name": "FAYIA",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "713-784-2480",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "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": 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 Aug 2, 2011; 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.