MDTJ Caregivers,LLC

Primary specialty

Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X

Legal business name

MDTJ CAREGIVERS,LLC

Practice address

11707 Evesborough Dr
Houston, TX 77099-1907

Phone

(281) 498-7340

NPI assigned

Jun 7, 2012

Last updated

Aug 15, 2012By 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

Mrs. Ibiba Macharry

Title

Administrator

Phone

(832) 628-7947

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1339027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344988800000",
    "number": "1508127325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11707 EVESBOROUGH DR,",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77099",
            "telephone_number": "281-498-7340",
            "fax_number": "281-809-5982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11707 EVESBOROUGH DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770991907",
            "telephone_number": "281-498-7340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDTJ CAREGIVERS,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-07",
        "last_updated": "2012-08-15",
        "status": "A",
        "authorized_official_last_name": "MACHARRY",
        "authorized_official_first_name": "IBIBA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "832-628-7947",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Skilled Nursing Facility in Houston, TX
• Providers in Houston, TX by specialty
• Pediatric Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.