Providence Assisted Living Home, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PROVIDENCE ASSISTED LIVING HOME, INC.

Practice address

8202 Ash Garden CT
Houston, TX 77083-6518

Phone

(281) 980-2977

Fax

(281) 242-2265

NPI assigned

Aug 9, 2018

Organization subpart

No

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

Authorized official

Name

Monica IgweNPI 1346403946

Title

President

Phone

(281) 980-2977

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Monica Chioma Igwe

  • Family Nurse Practitioner
  • Houston, TX
  • NPI 1346403946

  Home Health

  NPD Authorized official

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

{
    "created_epoch": "1533772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533772800000",
    "number": "1609355700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8202 ASH GARDEN CT",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770836518",
            "telephone_number": "281-980-2977",
            "fax_number": "281-242-2265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8202 ASH GARDEN CT",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770836518",
            "telephone_number": "281-980-2977",
            "fax_number": "281-242-2265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE ASSISTED LIVING HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-09",
        "last_updated": "2018-08-09",
        "status": "A",
        "authorized_official_last_name": "IGWE",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-980-2977"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providence EMS LLC
• Providence ER of Clearlake, PLLC (Houston Medical ER)
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• Home Health Agency in Houston, TX
• Providers in Houston, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.