Deolyver Aging and Disability Support Services, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

DEOLYVER AGING AND DISABILITY SUPPORT SERVICES, LLC

Practice address

1423 Lazy Spring Dr
Missouri City, TX 77489-5213

Phone

(832) 230-0343

Fax

(832) 365-7986

NPI assigned

May 5, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Demetria L Halley, MBANPI 1740668797

Title

President

Phone

(713) 365-0101

Specialties & licenses 4

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Demetria Halley

  • Driver
  • Houston, TX
  • NPI 1740668797
  NPD (past) Authorized official

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

{
    "created_epoch": "1367712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389225600000",
    "number": "1649615618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8313 SOUTHWEST FWY",
            "address_2": "112",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770741611",
            "telephone_number": "713-365-0101",
            "fax_number": "832-365-7986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1423 LAZY SPRING DR",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774895213",
            "telephone_number": "832-230-0343",
            "fax_number": "832-365-7986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEOLYVER AGING AND DISABILITY SUPPORT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-05",
        "last_updated": "2014-01-09",
        "status": "A",
        "authorized_official_last_name": "HALLEY",
        "authorized_official_first_name": "DEMETRIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-365-0101",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "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": []
}

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• Assisted Living Facility in Missouri City, TX
• Providers in Missouri City, TX by specialty
• Assisted Living Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2014; 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.