Spirit of Life- Personal Assistance Living Service

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

SPIRIT OF LIFE- PERSONAL ASSISTANCE LIVING SERVICE

Practice address

15116 Lee Rd
Suite 520
Humble, TX 77396-2097

Phone

(281) 235-9247

NPI assigned

Aug 21, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Tawanna Chargois Harris, LVN

Title

Administrator/ Wellness Director

Phone

(281) 235-9247

Specialties & licenses 1

Addresses

Other names 1

• Spirit Of Lfe- PAL Service Other name

Locations

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

{
    "created_epoch": "1282348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282348800000",
    "number": "1619283140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15116 LEE RD",
            "address_2": "SUITE 520",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773962097",
            "telephone_number": "281-235-9247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15116 LEE RD",
            "address_2": "SUITE 520",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773962097",
            "telephone_number": "281-235-9247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPIRIT OF LIFE- PERSONAL ASSISTANCE LIVING SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-21",
        "last_updated": "2010-08-21",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "TAWANNA",
        "authorized_official_middle_name": "CHARGOIS",
        "authorized_official_title_or_position": "ADMINISTRATOR/ WELLNESS DIRECTOR",
        "authorized_official_telephone_number": "281-235-9247",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LVN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spirit Of Lfe- PAL Service",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2010; 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.