NPIMap

Organization Active NPI

Twenty Two Pack Management Corp.

Doing business as Edenbrook of Champions

  • Assisted Living Facility
  • Houston, TX
National Provider Identifier
1689843484
Registry record updated Feb 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
TWENTY TWO PACK MANAGEMENT CORP.
Doing business as
Edenbrook of Champions
Practice address
14050 Cutten Rd
Houston, TX 77069-2229
Phone
(281) 866-9898
Fax
(281) 866-9933
NPI assigned
Feb 26, 2008
Last updated
Feb 26, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2008

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

Authorized official

Name
Tab Werner
Title
Executive Director
Phone
(281) 866-9898

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary

Addresses

Primary practice location

14050 Cutten Rd
Houston, TX 77069-2229

Mailing address

14050 Cutten Rd
Houston, TX 77069-2229
Phone (281) 866-9898

Other names 1

  • Edenbrook of Champions Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Eden Gardens of Concord6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1203984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203984000000",
    "number": "1689843484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14050 CUTTEN RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770692229",
            "telephone_number": "281-866-9898",
            "fax_number": "281-866-9933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14050 CUTTEN RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770692229",
            "telephone_number": "281-866-9898",
            "fax_number": "281-866-9933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWENTY TWO PACK MANAGEMENT CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-26",
        "last_updated": "2008-02-26",
        "status": "A",
        "authorized_official_last_name": "WERNER",
        "authorized_official_first_name": "TAB",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "281-866-9898"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Edenbrook of Champions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 26, 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.