Organization Active NPI

Ezekiel Grant Independent Living

  • Custodial Care Facility
  • Houston, TX
National Provider Identifier
1649912676
Registry record updated Apr 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Custodial Care FacilityTaxonomy code 311Z00000X
Legal business name
EZEKIEL GRANT INDEPENDENT LIVING
Practice address
440 Benmar Dr Ste 1395
Houston, TX 77060-3172
Phone
(832) 863-1556
NPI assigned
Apr 11, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2022

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

Authorized official

Name
Frances Grant
Title
Owner
Phone
(832) 863-1556

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Custodial Care Facility 311Z00000X Primary

Addresses

Primary practice location

440 Benmar Dr Ste 1395
Houston, TX 77060-3172

Mailing address

440 Benmar Dr Ste 1395
Houston, TX 77060-3172

Other identifiers 2

IdentifierTypeStateIssuer
804467126OtherTXBUSINESS CODED
804467126OtherTXBUSINESS FILE NUMBER

National Provider Directory

National Provider Directory

Locations

440 Benmar Dr
Ste 1395
Houston, TX 77060
Phone (832) 329-5646

NPI Registry JSON

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

{
    "created_epoch": "1649635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649635200000",
    "number": "1649912676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 BENMAR DR STE 1395",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770603172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 BENMAR DR STE 1395",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770603172",
            "telephone_number": "832-863-1556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EZEKIEL GRANT INDEPENDENT LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-11",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "FRANCES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-863-1556"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUSINESS CODED",
            "identifier": "804467126",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUSINESS FILE NUMBER",
            "identifier": "804467126",
            "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 Apr 11, 2022; 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.