Vaughn Gage Adult Wellness Center

Primary specialty

Respite CareTaxonomy code 385H00000X

Legal business name

VAUGHN GAGE ADULT WELLNESS CENTER

Practice address

17478 Northwest Fwy
Jersey Village, TX 77040-1002

Phone

(713) 291-1567

NPI assigned

Nov 24, 2020

Organization subpart

No

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

Authorized official

Name

Asheva Phillips

Title

Ceo

Phone

(713) 291-1567

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1606176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629417600000",
    "number": "1487258000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9406 FERN WOOD FRST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770406892",
            "telephone_number": "713-291-1567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17478 NORTHWEST FWY",
            "city": "JERSEY VILLAGE",
            "state": "TX",
            "postal_code": "770401002",
            "telephone_number": "713-291-1567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAUGHN GAGE ADULT WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-24",
        "last_updated": "2021-08-20",
        "certification_date": "2021-02-05",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "ASHEVA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "713-291-1567"
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• An Tran
• Kim-Marie Troutman, NP
• Hanh Truong, RPH
• Stephanie Tu
• U.S. Healthworks Medical Group of Texas, Inc.
• Village Emergency Room LLC
• Virtual Medical Center
• Thanh-Nha Thi Vo, DDS
• Emily Stone Vocke, PT, DPT
• Lakeira Washam

• Respite Care in Jersey Village, TX
• Providers in Jersey Village, TX by specialty
• Respite Care in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; 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.