Elohim'S Glory House Calls LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

ELOHIM'S GLORY HOUSE CALLS LLC

Practice address

17350 State Highway 249 Ste 220
Houston, TX 77064-1132

Phone

(409) 203-5141

Fax

(551) 236-2496

NPI assigned

Feb 7, 2021

Organization subpart

No

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

Authorized official

Name

Lakeshia Williams, FNP-C

Title

Ceo

Phone

(409) 203-5141

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1612656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616025600000",
    "number": "1609468198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8644 GLEN MEADOW LN",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777063935",
            "telephone_number": "832-628-1452",
            "fax_number": "551-236-2496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17350 STATE HIGHWAY 249 STE 220",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770641132",
            "telephone_number": "409-203-5141",
            "fax_number": "551-236-2496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELOHIM'S GLORY HOUSE CALLS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-07",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-08",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "LAKESHIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "409-203-5141",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in Houston, TX
• Providers in Houston, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; 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.