Organization Active NPI

Maison de Spiritus, Inc.

  • Physical Disabilities Residential Treatment Facility
  • Houston, TX
National Provider Identifier
1558867747
Registry record updated Apr 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X
Legal business name
MAISON DE SPIRITUS, INC.
Doing business as
Maison De Spiritus, Inc
Practice address
4122 Mainer St
Houston, TX 77021-5803
Phone
(832) 991-5040
NPI assigned
Apr 5, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2018

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

Authorized official

Name
Dr. Roosevelt Alcorn, MD
Title
Medical Director
Phone
(832) 991-5040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Disabilities Residential Treatment Facility 320700000X Primary

Addresses

Primary practice location

4122 Mainer St
Houston, TX 77021-5803

Mailing address

2450 Louisana St Ste 400-723
Houston, TX 77021
Phone (832) 991-5040

Other names 1

  • Maison De Spiritus, Inc Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1522886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522886400000",
    "number": "1558867747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 LOUISANA ST STE 400-723",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77021",
            "telephone_number": "832-991-5040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4122 MAINER ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770215803",
            "telephone_number": "832-991-5040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAISON DE SPIRITUS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-05",
        "last_updated": "2018-04-05",
        "status": "A",
        "authorized_official_last_name": "ALCORN",
        "authorized_official_first_name": "ROOSEVELT",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "832-991-5040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maison De Spiritus, Inc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Maison De Spiritus, Inc",
            "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 Apr 5, 2018; 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.