Organization Active NPI

Angel's Nest Inc.

  • Assisted Living Facility (Behavioral Disturbances)
  • Houston, TX
National Provider Identifier
1649058231
Registry record updated Sep 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X
Legal business name
ANGEL'S NEST INC.
Practice address
14420 Walters Rd Unit 69
Houston, TX 77014-1349
Phone
(240) 242-9716
NPI assigned
Sep 15, 2023
Last updated
Sep 15, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2023

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

Authorized official

Name
Malika Bruno
Title
Executive Director
Phone
(240) 242-9716

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Behavioral Disturbances) 3104A0630X Primary
Non-emergency Medical Transport (VAN) 343900000X

Addresses

Primary practice location

14420 Walters Rd Unit 69
Houston, TX 77014-1349

Mailing address

4057 Riley Fuzzel Rd # 500-230
Spring, TX 77386-4632
Phone (240) 242-9716

Other practice location 1

3770 Lovers Wood Ln Apt 710
Houston, TX 77014-1262
Phone (240) 242-9716

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1694736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694736000000",
    "number": "1649058231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4057 RILEY FUZZEL RD # 500-230",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773864632",
            "telephone_number": "240-242-9716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14420 WALTERS RD UNIT 69",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770141349",
            "telephone_number": "240-242-9716"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3770 Lovers Wood Ln Apt 710",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770141262",
            "country_code": "US",
            "telephone_number": "240-242-9716",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ANGEL'S NEST INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-15",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A",
        "authorized_official_last_name": "BRUNO",
        "authorized_official_first_name": "MALIKA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "240-242-9716"
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Sep 15, 2023; 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.