Space City Senior Care, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

008903 Issued in TX

Legal business name

SPACE CITY SENIOR CARE, LLC

Practice address

8313 Southwest Fwy
Ste. 109
Houston, TX 77074-1611

Phone

(210) 246-3448

NPI assigned

Dec 3, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Gregory Gomez-Mira

Title

Administrator

Phone

(210) 246-3448

Specialties & licenses 1

Addresses

Other names 1

• Home Instead Senior Care Doing business as

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

{
    "created_epoch": "1354492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354492800000",
    "number": "1508101494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8313 SOUTHWEST FWY",
            "address_2": "STE. 109",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770741611",
            "telephone_number": "210-246-3448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8313 SOUTHWEST FWY",
            "address_2": "STE. 109",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770741611",
            "telephone_number": "210-246-3448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPACE CITY SENIOR CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-03",
        "last_updated": "2012-12-03",
        "status": "A",
        "authorized_official_last_name": "GOMEZ-MIRA",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "210-246-3448",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "TX",
            "license": "008903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Instead Senior Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Space City Audiology PLLC
• Space City EMS LLC
• Space City Medicab
• Space City Medical
• Space City Radiology PLLC
• Space City Smiles
• Space Therapy Gym LLC
• Spade Chiropractic LLC
• Spade Chiropractic Physical Medicine and Diagnostic Clinic
• Spade Chriporactic Physical Medicine & Diagnostic Clinic

• In Home Supportive Care Agency in Houston, TX
• Providers in Houston, TX by specialty
• In Home Supportive Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2012; 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.