Organization Active NPI

St Stephen Memory Care

  • Adult Care Home Facility
  • Houston, TX
National Provider Identifier
1407686926
Registry record updated Sep 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
ST STEPHEN MEMORY CARE
Practice address
5309 Pagewood LN
Houston, TX 77056-7226
Phone
(832) 274-5549
NPI assigned
Aug 7, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2024

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

Authorized official

Name
Mr. Tunji Stephen Adeyemi
Title
Administrator
Phone
(346) 529-5342

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

5309 Pagewood LN
Houston, TX 77056-7226

Mailing address

14515 Briar Forest Dr Apt 425
Houston, TX 77077-2076
Phone (346) 529-5342

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1722988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726876800000",
    "number": "1407686926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14515 BRIAR FOREST DR APT 425",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770772076",
            "telephone_number": "346-529-5342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5309 PAGEWOOD LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770567226",
            "telephone_number": "832-274-5549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST STEPHEN MEMORY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-07",
        "last_updated": "2024-09-21",
        "certification_date": "2024-09-21",
        "status": "A",
        "authorized_official_last_name": "ADEYEMI",
        "authorized_official_first_name": "TUNJI",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "346-529-5342",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "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 Sep 21, 2024; 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.