NPIMap

Organization Active NPI

Speedycare LLC

  • Clinical Social Worker
  • Spring, TX
National Provider Identifier
1699071985
Registry record updated Feb 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
19561 Issued in TX
Legal business name
SPEEDYCARE LLC
Practice address
8765 Spring Cypress Rd
Suite L Box 154
Spring, TX 77379-1900
Phone
(281) 785-0038
NPI assigned
Feb 3, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2011

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

Authorized official

Name
Robert L Jefferson Jr.
Title
Owner
Phone
(281) 785-0038

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 19561 TX Primary

Addresses

Primary practice location

8765 Spring Cypress Rd
Suite L Box 154
Spring, TX 77379-1900

Mailing address

100 Interstate 45 N Ste 124
Conroe, TX 77301-2701

National Provider Directory

National Provider Directory

Locations

100 Interstate 45 N
Ste 124
Conroe, TX 77301
Phone (281) 785-0038

8765 Spring Cypress Rd
Ste L
Spring, TX 77379
Phone (281) 785-0038

NPI Registry JSON

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

{
    "created_epoch": "1296691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296691200000",
    "number": "1699071985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 INTERSTATE 45 N STE 124",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773012701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8765 SPRING CYPRESS RD",
            "address_2": "SUITE L BOX 154",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773791900",
            "telephone_number": "281-785-0038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEEDYCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-03",
        "last_updated": "2011-02-03",
        "status": "A",
        "authorized_official_last_name": "JEFFERSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-785-0038",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "19561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.