Peniel Health Services Corporation

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

PENIEL HEALTH SERVICES CORPORATION

Practice address

9331 Stablewood Lakes LN
Tomball, TX 77375-1279

Phone

(832) 661-2730

Fax

(281) 547-8220

NPI assigned

Apr 30, 2020

Last updated

Apr 30, 2020By 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

Mrs. Waveney Rose Lagrone

Title

Administrator

Phone

(832) 661-2730

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1588204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588204800000",
    "number": "1417578402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 133372",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773933372",
            "telephone_number": "832-661-2730",
            "fax_number": "281-547-8220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9331 STABLEWOOD LAKES LN",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773751279",
            "telephone_number": "832-661-2730",
            "fax_number": "281-547-8220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENIEL HEALTH SERVICES CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-30",
        "last_updated": "2020-04-30",
        "certification_date": "2020-04-30",
        "status": "A",
        "authorized_official_last_name": "LAGRONE",
        "authorized_official_first_name": "WAVENEY",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "832-661-2730",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2020; 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.