Stadium Emergency Shelter

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

1442966 Issued in TX

Legal business name

STADIUM EMERGENCY SHELTER

Practice address

21882 E Wallis Dr
Porter, TX 77365-5366

Phone

(281) 354-5930

Fax

(281) 354-5935

NPI assigned

Mar 26, 2013

Last updated

Mar 26, 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

Lee Preston

Title

Founder

Phone

(281) 354-5930

Specialties & licenses 1

Addresses

Tax ID family

Stadium Emergency Shelter2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Stadium Emergency Shelter

  • Respite Care
  • Porter, TX
  • NPI 1083969562
  NPD tax ID

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

{
    "created_epoch": "1364256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364256000000",
    "number": "1427390624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21882 E WALLIS DR",
            "city": "PORTER",
            "state": "TX",
            "postal_code": "773655366",
            "telephone_number": "281-354-5930",
            "fax_number": "281-354-5935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21882 E WALLIS DR",
            "city": "PORTER",
            "state": "TX",
            "postal_code": "773655366",
            "telephone_number": "281-354-5930",
            "fax_number": "281-354-5935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STADIUM EMERGENCY SHELTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-26",
        "last_updated": "2013-03-26",
        "status": "A",
        "authorized_official_last_name": "PRESTON",
        "authorized_official_first_name": "LEE",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "281-354-5930"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "TX",
            "license": "1442966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tempie Smith
• Tony D Smith
• Renee Nicole Sone, DO
• Carolyn Denise Spencer
• Stadium Emergency Shelter
• Amanda Stallworth
• Starr's Galexy
• Steven Hayes PLLC
• Logan Stoddard
• Robert Stroumpos, DDS

• Emotionally Disturbed Childrens' Residential Treatment Facility in Porter, TX
• Providers in Porter, TX by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.