NPIMap

Organization Active NPI

Upscale Revitalazation Community

  • Developmental Therapist
  • Stafford, TX
National Provider Identifier
1700046224
Registry record updated Jun 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental TherapistTaxonomy code 222Q00000X
Legal business name
UPSCALE REVITALAZATION COMMUNITY
Practice address
869 Dulles Ave Ste D
Stafford, TX 77477-5754
Phone
(832) 798-6878
NPI assigned
Jun 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2008

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

Authorized official

Name
Dr. Rivers Renard Glover I
Title
President
Phone
(832) 798-6878

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 222Q00000X Primary

Addresses

Primary practice location

869 Dulles Ave Ste D
Stafford, TX 77477-5754

Mailing address

869 Dulles Ave Ste D
Stafford, TX 77477-5754
Phone (832) 798-6878

National Provider Directory

National Provider Directory
Tax ID family
Upscale Revitalization Community Development Corporation3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1213056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213056000000",
    "number": "1700046224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "869 DULLES AVE STE D",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774775754",
            "telephone_number": "832-798-6878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "869 DULLES AVE STE D",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774775754",
            "telephone_number": "832-798-6878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPSCALE REVITALAZATION COMMUNITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-10",
        "last_updated": "2008-06-10",
        "status": "A",
        "authorized_official_last_name": "GLOVER",
        "authorized_official_first_name": "RIVERS",
        "authorized_official_middle_name": "RENARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "832-798-6878",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "I"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stafford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.