NPIMap

Organization Active NPI

M.G.W. Supportive Home Living

  • Community Health Worker
  • Richmond, TX
National Provider Identifier
1639565252
Registry record updated Apr 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Legal business name
M.G.W. SUPPORTIVE HOME LIVING
Practice address
4707 Arborvine CT
Richmond, TX 77469-5700
Phone
(832) 490-4444
Fax
(832) 945-2258
NPI assigned
Apr 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2015

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

Authorized official

Name
Monica Monique Green
Title
Director
Phone
(832) 490-4444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 172V00000X Primary

Addresses

Primary practice location

4707 Arborvine CT
Richmond, TX 77469-5700

Mailing address

4707 Arborvine CT
Richmond, TX 77469-5700
Phone (832) 490-4444

National Provider Directory

National Provider Directory
Tax ID family
MGW Supportive Home Living2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1428537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428537600000",
    "number": "1639565252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4707 ARBORVINE CT",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774695700",
            "telephone_number": "832-490-4444",
            "fax_number": "832-945-2258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4707 ARBORVINE CT",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774695700",
            "telephone_number": "832-490-4444",
            "fax_number": "832-945-2258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M.G.W. SUPPORTIVE HOME LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-09",
        "last_updated": "2015-04-09",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "MONIQUE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "832-490-4444"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2015; 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.