Individual provider Active NPI

Josephine Eudes Iwuh, NA

  • Intellectual Disabilities Intermediate Care Facility
  • Houston, TX
National Provider Identifier
1538467865
Registry record updated Mar 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
27781583 Issued in TX
Practice address
6211 Sonomaway
Houston, TX 77053-4347
Phone
(248) 275-6169
NPI assigned
Mar 10, 2011
Last updated
Mar 10, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 27781583 TX Primary

Addresses

Primary practice location

6211 Sonomaway
Houston, TX 77053-4347

Mailing address

6211 Sonoma Way
Houston, TX 77053-4347
Phone (248) 275-6169

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
27781583TXMDIntellectual Disabilities Intermediate Care Facility

NPI Registry JSON

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

{
    "created_epoch": "1299715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299715200000",
    "number": "1538467865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6211 SONOMA WAY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770534347",
            "telephone_number": "248-275-6169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6211 SONOMAWAY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770534347",
            "telephone_number": "248-275-6169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IWUH",
        "first_name": "JOSEPHINE",
        "middle_name": "EUDES",
        "credential": "NA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-10",
        "last_updated": "2011-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "TX",
            "license": "27781583",
            "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 Mar 10, 2011; 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.