Organization Active NPI

Concept Care PLLC

  • Assisted Living Facility
  • Humble, TX
National Provider Identifier
1710709316
Registry record updated Oct 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
CONCEPT CARE PLLC
Practice address
8106 Forest Glen Dr
Humble, TX 77338-6608
Phone
(281) 826-2828
NPI assigned
Oct 25, 2024
Last updated
Oct 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2024

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

Authorized official

Name
Desiree Tillmon, RN
Title
Co-Owner
Phone
(513) 888-0227

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary
Homemaker 376J00000X NU
Nurse's Aide 376K00000X NU
Registered Nurse 163W00000X NU

Addresses

Primary practice location

8106 Forest Glen Dr
Humble, TX 77338-6608

Mailing address

139 Cypresswood Dr # 103
Spring, TX 77388-6034

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1729814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729814400000",
    "number": "1710709316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 CYPRESSWOOD DR # 103",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773886034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8106 FOREST GLEN DR",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773386608",
            "telephone_number": "281-826-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCEPT CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-25",
        "last_updated": "2024-10-25",
        "certification_date": "2024-09-25",
        "status": "A",
        "authorized_official_last_name": "TILLMON",
        "authorized_official_first_name": "DESIREE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "513-888-0227",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humble, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; 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.