Organization Active NPI

Graffiti Home Care L.L.C.

  • Personal Care Attendant
  • Houston, TX
National Provider Identifier
1629626403
Registry record updated Feb 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Legal business name
GRAFFITI HOME CARE L.L.C.
Practice address
11201 Veterans Memorial Dr Apt 13206
Houston, TX 77067-3861
Phone
(228) 265-0331
NPI assigned
Aug 26, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2021

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

Authorized official

Name
Ms. Tyteila Mordria Roach
Title
Owner/Ceo
Phone
(228) 265-0331

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X
Personal Care AttendantGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 3747P1801X Primary

Addresses

Primary practice location

11201 Veterans Memorial Dr Apt 13206
Houston, TX 77067-3861

Mailing address

11201 Veterans Memorial Dr Apt 13206
Houston, TX 77067-3861
Phone (228) 265-0331

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1566777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614211200000",
    "number": "1629626403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11201 VETERANS MEMORIAL DR APT 13206",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770673861",
            "telephone_number": "228-265-0331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11201 VETERANS MEMORIAL DR APT 13206",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770673861",
            "telephone_number": "228-265-0331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAFFITI HOME CARE L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-26",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A",
        "authorized_official_last_name": "ROACH",
        "authorized_official_first_name": "TYTEILA",
        "authorized_official_middle_name": "MORDRIA",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "228-265-0331",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 25, 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.