City Crown PHP Inc

Primary specialty

Mental Illness Intermediate Care FacilityTaxonomy code 310500000X

Legal business name

CITY CROWN PHP INC

Practice address

2626 Raven Falls LN
Friendswood, TX 77546-6072

Phone

(832) 326-9028

Fax

(281) 992-2187

NPI assigned

Jul 12, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Veronica Uzoamaka Okafor

Title

Ceo

Phone

(832) 326-9028

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1310428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310428800000",
    "number": "1689962508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2626 RAVEN FALLS LN",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775466072",
            "telephone_number": "832-326-9028",
            "fax_number": "281-992-2187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 RAVEN FALLS LN",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775466072",
            "telephone_number": "832-326-9028",
            "fax_number": "281-992-2187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY CROWN PHP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-12",
        "last_updated": "2011-07-12",
        "status": "A",
        "authorized_official_last_name": "OKAFOR",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_middle_name": "UZOAMAKA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "832-326-9028",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310500000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "190878201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jantzen Chu, PT, DPT, COMT, CSCS
• Megan Ly Chu
• Samuel Ebere Chukwuneke
• Church of Christ in Friendswood
• City Crown Home Health Agency Inc.
• City of Friendswood
• Conrad Cline
• Elizabeth A Cloninger, M.D.
• Coastal Home Medical Care PLLC
• Christina Cochran

• Mental Illness Intermediate Care Facility in Friendswood, TX
• Providers in Friendswood, TX by specialty
• Mental Illness Intermediate Care Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2011; 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.