Sivad Home and Community Services of Texas LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SIVAD HOME AND COMMUNITY SERVICES OF TEXAS LLC

Practice address

700 W Center St Apt 171
Duncanville, TX 75116-4549

Phone

(504) 400-3448

Fax

(504) 617-7778

NPI assigned

Jan 3, 2022

Organization subpart

Yes

Parent organization

SIVAD HOME AND COMMUNITY SERVICES OF TEXASAs reported in NPPES

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

Authorized official

Name

Ursula Newell Davis, MSW

Title

Owner

Phone

(504) 400-3448

Specialties & licenses 1

Addresses

Part of

Sivad Home and Community Services of Texas LLC

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

{
    "created_epoch": "1641168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641168000000",
    "number": "1427719400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1799 STUMPF BLVD # 7-2A",
            "city": "TERRYTOWN",
            "state": "LA",
            "postal_code": "700563950",
            "telephone_number": "504-400-3448",
            "fax_number": "504-617-7778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W CENTER ST APT 171",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751164549",
            "telephone_number": "504-400-3448",
            "fax_number": "504-617-7778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIVAD HOME AND COMMUNITY SERVICES OF TEXAS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SIVAD HOME AND COMMUNITY SERVICES OF TEXAS",
        "enumeration_date": "2022-01-03",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A",
        "authorized_official_last_name": "NEWELL DAVIS",
        "authorized_official_first_name": "URSULA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-400-3448",
        "authorized_official_credential": "MSW"
    },
    "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 Jan 3, 2022; 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.