Samlizy Group Home Inc

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

SAMLIZY GROUP HOME INC

Practice address

10022 Halston Dr
Sugar Land, TX 77498-2781

Phone

(832) 620-7018

NPI assigned

Oct 10, 2015

Last updated

Oct 10, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Stella Adimibe, REGISTERED NURSENPI 1730988478

Title

Program Director

Phone

(832) 620-7018

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stella U Adimibe

  • Psychiatric/Mental Health Nurse Practitioner
  • Sugar Land, TX
  • NPI 1730988478
  Authorized official Same address or phone

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

{
    "created_epoch": "1444435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444435200000",
    "number": "1710358213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10022 HALSTON DR",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774982781",
            "telephone_number": "832-620-7018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10022 HALSTON DR",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774982781",
            "telephone_number": "832-620-7018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMLIZY GROUP HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-10",
        "last_updated": "2015-10-10",
        "status": "A",
        "authorized_official_last_name": "ADIMIBE",
        "authorized_official_first_name": "STELLA",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "832-620-7018",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Antonio Alfredo Sama
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• Tashna Samuels
• Clara M. Samuelson

• Developmentally Disabled Services Day Training Agency in Sugar Land, TX
• Providers in Sugar Land, TX by specialty
• Developmentally Disabled Services Day Training Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2015; 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.