City Park Care Center, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

CITY PARK CARE CENTER, LLC

Practice address

12262 Cityscape Avenue
Houston, TX 77047

Phone

(832) 651-7131

NPI assigned

Dec 12, 2017

Organization subpart

No

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

Authorized official

Name

Adeyemi Alabi-Isamn

Title

President

Phone

(346) 998-3500

Specialties & licenses 1

Addresses

Other names 1

• Terra Bella Health and Wellness Suites Doing business as

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

{
    "created_epoch": "1513036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539302400000",
    "number": "1730694787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12262 CITYSCAPE AVENUE",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12262 CITYSCAPE AVENUE",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77047",
            "telephone_number": "832-651-7131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY PARK CARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-12",
        "last_updated": "2018-10-12",
        "status": "A",
        "authorized_official_last_name": "ALABI-ISAMN",
        "authorized_official_first_name": "ADEYEMI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "346-998-3500"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Terra Bella Health and Wellness Suites",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• City of Houston
• City of Houston
• City of Houston
• City of Houston,, Dept. of Health & Human Serv.
• City of Nassau Bay
• City Park Family Dentistry, PLLC
• City Reformation Inc
• City Smiles Dental
• Citycaring Healthcare LLC
• Citywide EMS LLC

• Skilled Nursing Facility in Houston, TX
• Providers in Houston, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2018; 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.