Organization Active NPI

Mingo'S Personal Care Home

  • Adult Mental Health Clinic/Center
  • Houston, TX
National Provider Identifier
1417204587
Registry record updated Aug 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
103505 Issued in TX
Legal business name
MINGO'S PERSONAL CARE HOME
Practice address
10538 Bainbridge St
Houston, TX 77016-3008
Phone
(713) 631-4049
Fax
(713) 631-2906
NPI assigned
Aug 8, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2012

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

Authorized official

Name
Mrs. Deanna Rachelle Mingo
Title
Manager
Phone
(713) 631-4049

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 103505 TX Primary

Addresses

Primary practice location

10538 Bainbridge St
Houston, TX 77016-3008

Mailing address

10538 Bainbridge St
Houston, TX 77016-3008
Phone (713) 631-4049

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1344384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344384000000",
    "number": "1417204587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10538 BAINBRIDGE ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770163008",
            "telephone_number": "713-631-4049",
            "fax_number": "713-631-2906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10538 BAINBRIDGE ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770163008",
            "telephone_number": "713-631-4049",
            "fax_number": "713-631-2906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINGO'S PERSONAL CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-08",
        "last_updated": "2012-08-08",
        "status": "A",
        "authorized_official_last_name": "MINGO",
        "authorized_official_first_name": "DEANNA",
        "authorized_official_middle_name": "RACHELLE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "713-631-4049",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "TX",
            "license": "103505",
            "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 8, 2012; 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.