Organization Active NPI

Conly's Assisted Living Home

  • Adult Mental Health Clinic/Center
  • Houston, TX
National Provider Identifier
1407005929
Registry record updated Sep 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
101623 Issued in TX
Legal business name
CONLY'S ASSISTED LIVING HOME
Practice address
6819 Morrow St
Houston, TX 77091-2321
Phone
(713) 697-1792
Fax
(713) 695-5554
NPI assigned
Sep 9, 2008
Last updated
Sep 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2008

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

Authorized official

Name
Ms. Ivory Lee Pete, BUSINESS MANAGMENT
Title
Owner
Phone
(281) 706-3717

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 101623 TX Primary

Addresses

Primary practice location

6819 Morrow St
Houston, TX 77091-2321

Mailing address

PO Box 73723
Houston, TX 77273-3723
Phone (281) 209-3710

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1220918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220918400000",
    "number": "1407005929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 73723",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772733723",
            "telephone_number": "281-209-3710",
            "fax_number": "713-695-5554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6819 MORROW ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770912321",
            "telephone_number": "713-697-1792",
            "fax_number": "713-695-5554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONLY'S ASSISTED LIVING HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-09",
        "last_updated": "2008-09-09",
        "status": "A",
        "authorized_official_last_name": "PETE",
        "authorized_official_first_name": "IVORY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-706-3717",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BUSINESS MANAGMENT"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "TX",
            "license": "101623",
            "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 Sep 9, 2008; 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.