Organization Active NPI

Abide Care Group Inc

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Houston, TX
National Provider Identifier
1639415748
Registry record updated Dec 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
ABIDE CARE GROUP INC
Practice address
15770 Bellaire Blvd Apt 2612
Houston, TX 77083-3012
Phone
(832) 287-7717
NPI assigned
Dec 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2012

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

Authorized official

Name
Mrs. Modupe Adetutu Okunsanya
Title
President
Phone
(832) 287-7717

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

15770 Bellaire Blvd Apt 2612
Houston, TX 77083-3012

Mailing address

15770 Bellaire Blvd Apt 2612
Houston, TX 77083-3012
Phone (832) 287-7717

Other identifiers 1

IdentifierTypeStateIssuer
0000000MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1355702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355961600000",
    "number": "1639415748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15770 BELLAIRE BLVD APT 2612",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770833012",
            "telephone_number": "832-287-7717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15770 BELLAIRE BLVD APT 2612",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770833012",
            "telephone_number": "832-287-7717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABIDE CARE GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-17",
        "last_updated": "2012-12-20",
        "status": "A",
        "authorized_official_last_name": "OKUNSANYA",
        "authorized_official_first_name": "MODUPE",
        "authorized_official_middle_name": "ADETUTU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "832-287-7717",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000000",
            "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 Dec 20, 2012; 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.