Organization Active NPI

Jaycee'S Children Center, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Houston, TX
National Provider Identifier
1679730485
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
537260 Issued in TX
Legal business name
JAYCEE'S CHILDREN CENTER, INC.
Practice address
2902 Milroy LN
Houston, TX 77066-4610
Phone
(281) 440-5077
Fax
(281) 440-5099
NPI assigned
May 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2008

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

Authorized official

Name
Mrs. Euradell Muckelroy, LCCA
Title
Executive Director
Phone
(281) 440-5077

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 537260 TX Primary

Addresses

Primary practice location

2902 Milroy LN
Houston, TX 77066-4610

Mailing address

2902 Milroy LN
Houston, TX 77066-4610
Phone (281) 440-5077

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211241600000",
    "number": "1679730485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2902 MILROY LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770664610",
            "telephone_number": "281-440-5077",
            "fax_number": "281-440-5099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2902 MILROY LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770664610",
            "telephone_number": "281-440-5077",
            "fax_number": "281-440-5099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAYCEE'S CHILDREN CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-20",
        "last_updated": "2008-05-20",
        "status": "A",
        "authorized_official_last_name": "MUCKELROY",
        "authorized_official_first_name": "EURADELL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "281-440-5077",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCCA"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "TX",
            "license": "537260",
            "primary": true
        }
    ],
    "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 May 20, 2008; 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.