Jabez Outreach Center Inc,

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

135784 Issued in TX

Legal business name

JABEZ OUTREACH CENTER INC,

Practice address

2307 Hummingbird St
New Caney, TX 77357-3442

Phone

(281) 689-7839

Fax

(281) 689-7839

NPI assigned

Sep 25, 2013

Last updated

Sep 25, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Johnnie Reynolds, CARE PROVIDER

Title

Ceo/President

Phone

(281) 689-7839

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1380067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380067200000",
    "number": "1396171096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2307 HUMMINGBIRD ST",
            "city": "NEW CANEY",
            "state": "TX",
            "postal_code": "773573442",
            "telephone_number": "281-689-7839",
            "fax_number": "281-689-7839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2307 HUMMINGBIRD ST",
            "city": "NEW CANEY",
            "state": "TX",
            "postal_code": "773573442",
            "telephone_number": "281-689-7839",
            "fax_number": "281-689-7839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JABEZ OUTREACH CENTER INC,",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-25",
        "last_updated": "2013-09-25",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "JOHNNIE",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "281-689-7839",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CARE PROVIDER"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": "135784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wesley Harris, RPH
• Health Center of Southeast Texas
• Angela Ho, DMD
• Lucenda Laukisha Honore, MSW
• J & D Home Care 2 (J and D Personal Care Home)
• Jameson Bowles DO, PLLC (Texas Urgent Care and Imaging Center)
• Kiren Javed, DDS
• Carol Ann Jeter, WHCNP
• Yazel Jimenez Lazo
• Shari Grace Jobe, M.ED.

• Assisted Living Facility in New Caney, TX
• Providers in New Caney, TX by specialty
• Assisted Living Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.