Organization Active NPI

Nightingale Rehabilition, Inc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Houston, TX
National Provider Identifier
1568630754
Registry record updated Feb 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
005331 Issued in TX
Legal business name
NIGHTINGALE REHABILITION, INC
Practice address
5802 Holly St
Houston, TX 77074-7838
Phone
(713) 981-1543
Fax
(713) 995-6376
NPI assigned
Feb 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2008

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

Authorized official

Name
Mr. Philip Chung
Title
Owner
Phone
(713) 981-1543

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 005331 TX Primary

Addresses

Primary practice location

5802 Holly St
Houston, TX 77074-7838

Mailing address

5802 Holly St
Houston, TX 77074-7838
Phone (713) 981-1543

Other identifiers 1

IdentifierTypeStateIssuer
005331MedicaidTX

National Provider Directory

National Provider Directory
Tax ID family
Nightingale Rehabilitation Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202688000000",
    "number": "1568630754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5802 HOLLY ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770747838",
            "telephone_number": "713-981-1543",
            "fax_number": "713-995-6376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5802 HOLLY ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770747838",
            "telephone_number": "713-981-1543",
            "fax_number": "713-995-6376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIGHTINGALE REHABILITION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-11",
        "last_updated": "2008-02-11",
        "status": "A",
        "authorized_official_last_name": "CHUNG",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-981-1543",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "TX",
            "license": "005331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005331",
            "state": "TX"
        }
    ],
    "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 Feb 11, 2008; 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.