NPIMap

Organization Active NPI

Houston Community Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Houston, TX
National Provider Identifier
1477909216
Registry record updated May 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
HOUSTON COMMUNITY HEALTH CENTERS, INC.
Practice address
400 Boyles
Houston, TX 77020-5299
Phone
(713) 671-4130
Fax
(713) 671-4133
NPI assigned
May 11, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2016

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

Authorized official

Name
Daniel Montez
Title
Chief Executive Officer
Phone
(713) 674-3326

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

400 Boyles
Houston, TX 77020-5299

Mailing address

424 Hahlo St
Houston, TX 77020-3022
Phone (713) 674-3326

Other names 1

  • Scroggins Elementary School Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160725002278 TX Part A Provider - Federally Qualified Health Center (FQHC) 8224940028 Practice locations: Houston, TX

Federally qualified health center certification: CCN 741930

Legal name
HOUSTON COMMUNITY HEALTH CENTERS, INC.
Doing business as
SCROGGINS ELEMENTARY SCHOOL
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jul 20, 2016
Last certification
Jul 20, 2016
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Sep 7, 1999 in TX
Enrollment address
400 Boyles
Houston, TX 77020-5299

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Houston Community Health Centers Inc9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Ana Kadala Individual Corporate OfficerBoard Chair May 4, 2021
Phileda Tennant Individual Corporate OfficerTreasurer Apr 5, 2022
Daniel Montez Individual Corporate OfficerChief Executive Officer Jan 1, 2001
W-2 Managing EmployeeChief Executive Officer Jan 1, 2001
Angela Trautman Individual Corporate OfficerVice Chair Apr 5, 2022
Joshua Wollen Individual Corporate OfficerBoard Secretary Aug 8, 2023
Richard Blakely Individual Corporate OfficerBoard Member May 2, 2023

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
McReynolds Middle SchoolHouston, TX, CCN 741887 Federally qualified health center Operational/Managerial Control (100%) Aug 19, 2014

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

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

{
    "created_epoch": "1462924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462924800000",
    "number": "1477909216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 HAHLO ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770203022",
            "telephone_number": "713-674-3326",
            "fax_number": "713-674-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 BOYLES",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770205299",
            "telephone_number": "713-671-4130",
            "fax_number": "713-671-4133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSTON COMMUNITY HEALTH CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-11",
        "last_updated": "2016-05-11",
        "status": "A",
        "authorized_official_last_name": "MONTEZ",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "713-674-3326"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Scroggins Elementary School",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.