Organization Active NPI

Family Restoration LLC

  • Case Management Agency
  • Manvel, TX
National Provider Identifier
1720840481
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
FAMILY RESTORATION LLC
Practice address
3 Huntington Bend Dr.
Manvel, TX 77578
Phone
(281) 692-1778
Fax
(270) 203-0587
NPI assigned
Jan 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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

Authorized official

Name
Mrs. Jonna L. Kiel-Mack, MHA, MBA
Title
Administrator
Phone
(713) 865-2684

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

3 Huntington Bend Dr.
Manvel, TX 77578

Mailing address

3422 Business Center Dr Ste 106 #137
Pearland, TX 77584-4159
Phone (281) 692-1778

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1706486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706486400000",
    "number": "1720840481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3422 BUSINESS CENTER DR STE 106 #137",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775844159",
            "telephone_number": "281-692-1778",
            "fax_number": "270-203-0587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 HUNTINGTON BEND DR.",
            "city": "MANVEL",
            "state": "TX",
            "postal_code": "77578",
            "telephone_number": "281-692-1778",
            "fax_number": "270-203-0587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY RESTORATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-29",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-21",
        "status": "A",
        "authorized_official_last_name": "KIEL-MACK",
        "authorized_official_first_name": "JONNA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "713-865-2684",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MHA, MBA"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manvel, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.