Organization Active NPI

Restored Living Healthcare, Inc.

  • Home Health Agency
  • Houston, TX
National Provider Identifier
1518079078
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
010536 Issued in TX
Legal business name
RESTORED LIVING HEALTHCARE, INC.
Practice address
9810 Tanner Rd Ste 170
Houston, TX 77041-7648
Phone
(281) 850-8370
NPI assigned
Aug 31, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Chivon Darnice Jackson, RN, BSN
Title
Administrator/ Director of Nursing
Phone
(281) 850-8370

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 010536 TX Primary

Addresses

Primary practice location

9810 Tanner Rd Ste 170
Houston, TX 77041-7648

Mailing address

9810 Tanner Rd Ste 170
Houston, TX 77041-7648
Phone (281) 850-8370

National Provider Directory

National Provider Directory
Tax ID family
Restored Living Healthcare Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

9810 Tanner Rd
Ste 170
Houston, TX 77041
Phone (281) 850-8370

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1518079078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9810 TANNER RD STE 170",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770417648",
            "telephone_number": "281-850-8370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9810 TANNER RD STE 170",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770417648",
            "telephone_number": "281-850-8370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORED LIVING HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "CHIVON",
        "authorized_official_middle_name": "DARNICE",
        "authorized_official_title_or_position": "ADMINISTRATOR/ DIRECTOR OF NURSING",
        "authorized_official_telephone_number": "281-850-8370",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "010536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.