Upper Room Cooperate Housing, Inc

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

UPPER ROOM COOPERATE HOUSING, INC

Doing business as

Highly Favored Care Home

Practice address

9613 Log Run CT
McKinney, TX 75072-4962

Phone

(214) 778-1107

Fax

(214) 778-1454

NPI assigned

Jul 29, 2021

Organization subpart

No

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

Authorized official

Name

Ellen Clinton

Title

Consultant

Phone

(817) 903-7600

Specialties & licenses 1

Addresses

Other names 1

• Highly Favored Care Home Doing business as

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

{
    "created_epoch": "1627516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627516800000",
    "number": "1679246235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9613 LOG RUN CT",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750724962",
            "telephone_number": "214-778-1107",
            "fax_number": "214-778-1454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9613 LOG RUN CT",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750724962",
            "telephone_number": "214-778-1107",
            "fax_number": "214-778-1454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPPER ROOM COOPERATE HOUSING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-29",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-29",
        "status": "A",
        "authorized_official_last_name": "CLINTON",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_title_or_position": "CONSULTANT",
        "authorized_official_telephone_number": "817-903-7600"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Highly Favored Care Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Adult Care Home Facility in McKinney, TX
• Providers in McKinney, TX by specialty
• Adult Care Home Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2021; 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.