Organization Active NPI

Sagacious Beauty LLC.

Doing business as Sagacious Beauty

  • Prosthetics Case Management
  • Houston, TX
National Provider Identifier
1740961424
Registry record updated Jul 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetics Case ManagementTaxonomy code 1744P3200X
Legal business name
SAGACIOUS BEAUTY LLC.
Doing business as
Sagacious Beauty
Sagacious Medical Wellness
Practice address
16770 Imperial Valley Dr Ste 125E
Houston, TX 77060-3427
Phone
(832) 264-5293
NPI assigned
Jul 26, 2023
Last updated
Jul 26, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
SAGACIOUS BEAUTY LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 26, 2023

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

Authorized official

Name
June Williams FullerNPI 1013555739
Title
Case Manager
Phone
(832) 264-5293

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Prosthetics Case ManagementGroup: 193200000X MULTI-SPECIALTY GROUP 1744P3200X Primary
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

16770 Imperial Valley Dr Ste 125E
Houston, TX 77060-3427

Mailing address

PO Box 2063
Humble, TX 77347-2063
Phone (346) 803-6955

Other names 2

  • SAGACIOUS BEAUTY Doing business as
  • Sagacious Medical Wellness Doing business as

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": "1690329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690329600000",
    "number": "1740961424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2063",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773472063",
            "telephone_number": "346-803-6955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16770 IMPERIAL VALLEY DR STE 125E",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770603427",
            "telephone_number": "832-264-5293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGACIOUS BEAUTY LLC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAGACIOUS BEAUTY LLC",
        "enumeration_date": "2023-07-26",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A",
        "authorized_official_last_name": "FULLER",
        "authorized_official_first_name": "JUNE",
        "authorized_official_middle_name": "WILLIAMS",
        "authorized_official_title_or_position": "CASE MANAGER",
        "authorized_official_telephone_number": "832-264-5293"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1744P3200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist, Prosthetics Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAGACIOUS BEAUTY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sagacious Medical Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2023; 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.