Organization Active NPI

C&J Adult Activity Center

Doing business as Loving Care Assisted Living Home

  • Adult Day Care Clinic/Center
  • Houston, TX
National Provider Identifier
1528432192
Registry record updated Nov 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
C&J ADULT ACTIVITY CENTER
Doing business as
Loving Care Assisted Living Home
Practice address
3929 Colvin St
Houston, TX 77013-3405
Phone
(713) 692-1414
Fax
(281) 227-3099
NPI assigned
Nov 19, 2015
Last updated
Nov 19, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2015

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

Authorized official

Name
Ms. Johnnetta Matrice NicholsNPI 1861636896
Title
Owner
Phone
(713) 692-1414

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X TX Primary

Addresses

Primary practice location

3929 Colvin St
Houston, TX 77013-3405

Mailing address

11151 Homestead Rd
A
Houston, TX 77016-1944
Phone (713) 692-1414

Other names 1

  • LOVING CARE ASSISTED LIVING HOME Doing business as

National Provider Directory

National Provider Directory
Tax ID family
CJ Adult Activity Center2 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

11151 Homestead Rd
#A
Houston, TX 77016

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1447891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447891200000",
    "number": "1528432192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11151 HOMESTEAD RD",
            "address_2": "A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770161944",
            "telephone_number": "713-692-1414",
            "fax_number": "281-227-3099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3929 COLVIN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770133405",
            "telephone_number": "713-692-1414",
            "fax_number": "281-227-3099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C&J ADULT ACTIVITY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-19",
        "last_updated": "2015-11-19",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "JOHNNETTA",
        "authorized_official_middle_name": "MATRICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-692-1414",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LOVING CARE ASSISTED LIVING HOME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 19, 2015; 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.